Individual provider Active NPI

Natassia Rhiannon King, FNP-C

  • Family Nurse Practitioner
  • Canon City, CO
National Provider Identifier
1750022497
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0997483-NP Issued in CO
Practice address
122 Yale PL
Canon City, CO 81212-3551
Phone
(719) 458-9445
NPI assigned
Apr 6, 2022
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0997483-NP CO Primary

Addresses

Primary practice location

122 Yale PL
Canon City, CO 81212-3551

Mailing address

122 Yale PL
Canon City, CO 81212-3551
Phone (719) 458-9445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508001147 CO Practitioner - Nurse Practitioner 8123469111 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sangre de Cristo Hospice & Palliative Care CurrentSince Apr 6, 2024 Accepting new patients
Peak Healthcare LLC Family CurrentSince Oct 1, 2024 Accepting new patients
Forte Health and Wellness Inc Family Current Accepting new patients
King Assessments PLLC CurrentSince Sep 8, 2024 Accepting new patients
Foothills Vaccine Clinic LLC Family PastSince Jan 12, 2025 Accepting new patients

Locations

601 Greenwood Ave
Canon City, CO 81212

8181 E Tufts Ave
Ste 510
Denver, CO 80237
Phone (720) 833-7715

8181 E Tufts Ave
Ste 560
Denver, CO 80237
Phone (720) 669-3480

2679 W Main St
Littleton, CO 80120

2679 W Main St
Ste 300
Littleton, CO 80120
Phone (303) 720-9369

2679 W Main St
Ste 300736
Littleton, CO 80120

2679 W Main St
Ste 300781
Littleton, CO 80120
Phone (720) 269-9425

5822 S Lowell Way
Littleton, CO 80123
Phone (303) 798-2497

1107 Pueblo Boulevard Way
Pueblo, CO 81005
Phone (719) 296-6205

1920 Valley Dr
Pueblo, CO 81008

10160 W 50th Ave
Unit 4
Wheat Ridge, CO 80033
Phone (303) 456-4882

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1750022497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 YALE PL",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123551",
            "telephone_number": "719-458-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 YALE PL",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123551",
            "telephone_number": "719-458-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "NATASSIA",
        "middle_name": "RHIANNON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997483-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

Verify at the official NPI Registry.