Individual provider Active NPI

Christie King, APRN

  • Family Nurse Practitioner
  • Astor, FL
National Provider Identifier
1750631669
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP121086 Issued in ME
Practice address
24239 State Road 40
Astor, FL 32102-3029
Phone
(352) 759-3900
NPI assigned
Sep 18, 2012
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11014867 FL
Family Nurse Practitioner 363LF0000X CNP121086 ME Primary

Addresses

Primary practice location

24239 State Road 40
Astor, FL 32102-3029

Mailing address

1721 Amboy Dr
Deltona, FL 32738-4429
Phone (386) 248-6798

Other practice location 1

25 Depot St
Kingfield, ME 04947
Phone (207) 265-4555

Other practice location 2

1590 S State Road 15A Ste 100
Deland, FL 32720-7817
Phone (386) 774-0016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250109003854 FL Practitioner - Nurse Practitioner 5597915454 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Volusia Family and Sports Medicine Inc CurrentSince Nov 8, 2024 Accepting new patients
Chet Anthony DO, Inc. CurrentSince Apr 6, 2025 Accepting new patients

Locations

24239 State Road 40
Astor, FL 32102
Phone (352) 759-3900

1590 S State Road 15A
#100
Deland, FL 32720
Phone (386) 774-0016

1590 S State Road 15A
Ste 100
Deland, FL 32720
Phone (386) 774-0016

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CECABD/Endpoint/CECABD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJGIBD

Organizations & group practices 2

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": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1750631669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 AMBOY DR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327384429",
            "telephone_number": "386-248-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24239 STATE ROAD 40",
            "city": "ASTOR",
            "state": "FL",
            "postal_code": "321023029",
            "telephone_number": "352-759-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Depot St",
            "address_purpose": "LOCATION",
            "city": "Kingfield",
            "state": "ME",
            "postal_code": "04947",
            "country_code": "US",
            "telephone_number": "207-265-4555",
            "fax_number": "207-265-5004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1590 S State Road 15A Ste 100",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327207817",
            "country_code": "US",
            "telephone_number": "386-774-0016",
            "fax_number": "386-774-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "CHRISTIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014867",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP121086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astor, FL

Sources for this page

Verify at the official NPI Registry.