Individual provider Active NPI

Scotty King, APRN, FNP-C

  • Family Medicine Physician
  • Beaver, OK
National Provider Identifier
1750024741
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
207607 Issued in OK
Practice address
212 E 8TH St
Beaver, OK 73932-3184
Phone
(580) 625-4551
NPI assigned
Apr 18, 2022
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 207607 OK Primary

Addresses

Primary practice location

212 E 8TH St
Beaver, OK 73932-3184

Mailing address

PO Box 640
Beaver, OK 73932-0640
Phone (580) 625-4551

Other names 1

  • Scotty Lue King Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20220629002714 OK Practitioner - Nurse Practitioner 9830579408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaver County Memorial HospitalGroup PAC ID 9335134246, shared by 5 NPIs, 6 clinicians

Practice addresses (Care Compare)

104 N Hibbs St
Community Clinic of Turpin
Turpin, OK 73950-0299
Phone (580) 778-3966

718 Ave a
Beaver, OK 73932-3101
Phone (580) 625-3477

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver County Memorial Hospital CurrentSince Jun 19, 2023 Accepting new patients
Beaver County Memorial Hospital CurrentSince Jun 19, 2023 Accepting new patients
Beaver County Memorial Hospital Current Accepting new patients
Beaver County Memorial Hospital Past Accepting new patients

Locations

212 E 8th St
Beaver, OK 73932
Phone (580) 625-3646

718 Avenue A
Beaver, OK 73932
Phone (580) 625-3477

Interoperability endpoints

  • Direct secure messaging: sharrison210833@direct-ehr-ssmhc.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1750024741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "739320640",
            "telephone_number": "580-625-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E 8TH ST",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "739323184",
            "telephone_number": "580-625-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SCOTTY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "207607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTTY",
            "last_name": "KING",
            "middle_name": "LUE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beaver, OK

Sources for this page

Verify at the official NPI Registry.