Individual provider Active NPI

Rachel Anne King, C-NP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1770877631
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169307 Issued in VA
Practice address
3352 Princess Anne Rd Ste 909
Virginia Beach, VA 23456-2608
Phone
(757) 707-1231
Fax
(757) 707-1232
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 0024169307 VA Primary

Addresses

Primary practice location

3352 Princess Anne Rd Ste 909
Virginia Beach, VA 23456-2608

Mailing address

3865 Border Way
Virginia Beach, VA 23456-1629
Phone (301) 305-6261

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)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ageless Skin Rejuvenation LLC Family CurrentSince Sep 23, 2024 Accepting new patients

Locations

3352 Princess Anne Rd
Ste 909
Virginia Beach, VA 23456
Phone (757) 707-1231

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1770877631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 BORDER WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561629",
            "telephone_number": "301-305-6261",
            "fax_number": "757-707-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3352 PRINCESS ANNE RD STE 909",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234562608",
            "telephone_number": "757-707-1231",
            "fax_number": "757-707-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "C-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.