Active NPI
Lavetta Denise King
- Licensed Practical Nurse
- Columbus, OH
National Provider Identifier
1740926658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 185574
- Practice address
- 1791 Alum Creek Dr
Columbus, OH 43207-1708 - Phone
- (614) 445-8131
- NPI assigned
- May 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 601775150720 | OH | |
| Licensed Practical Nurse | 164W00000X | 185574 | OH | Primary |
Addresses
Primary practice location
1791 Alum Creek Dr
Columbus, OH 43207-1708
Mailing address
1802 Alcoy Dr
Columbus, OH 43227-3312
Phone (614) 500-9414
Other practice location 1
1802 Alcoy Dr
Columbus, OH 43227-3312
Phone (614) 500-9414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185574 | OH | MD | Licensed Practical Nurse |
| 601775150720 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1740926658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 ALCOY DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432273312",
"telephone_number": "614-500-9414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1791 ALUM CREEK DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432071708",
"telephone_number": "614-445-8131"
}
],
"practiceLocations": [
{
"address_1": "1802 Alcoy Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432273312",
"country_code": "US",
"telephone_number": "614-500-9414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "LAVETTA",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-12",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "601775150720",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "185574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.