Individual provider Active NPI

Rachel E King, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, NY
National Provider Identifier
1780299495
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP022238 Issued in PA
Practice address
305 E Fairmount Ave
Lakewood, NY 14750-2000
Phone
(716) 526-4041
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP022238 PA Primary

Addresses

Primary practice location

305 E Fairmount Ave
Lakewood, NY 14750-2000

Mailing address

32 Yucha Dr
Youngsville, PA 16371-1062
Phone (814) 688-7262

Other practice location 1

1048 Pennsylvania Ave W
Warren, PA 16365-1838
Phone (814) 230-9111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rking430955@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201005000369 PA Practitioner - Nurse Practitioner 8224457684 Reassigns benefits to 1 organization
I20201217000512 NY Practitioner - Nurse Practitioner 8224457684 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jamestown Psychiatric PCGroup PAC ID 0244314631, 15 clinicians
Chautauqua County Chapter of Nysarc IncGroup PAC ID 9234452947, 11 clinicians
Upmc Chautauqua at WcaGroup PAC ID 4385630342, 26 clinicians

Practice addresses (Care Compare)

1465 Foote Ave Ext
Jamestown, NY 14701-9383
Phone (716) 526-4041

186 Lake Shore Dr W
Dunkirk, NY 14048-1437
Phone (716) 366-6125

20 Gillis Ave
Ridgway, PA 15853-1604
Phone (814) 772-5741

207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 664-8640

Hospital & facility affiliations

  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022238PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chautauqua Co. Chapter of Nysarc Inc Dba the Resource Center Current Accepting new patients
Upmc Chautauqua at Wca CurrentSince Apr 1, 2021 Accepting new patients
Jamestown Psychiatric PC CurrentSince May 7, 2023 Accepting new patients
Chautauqua County Chapter of Nysarc Inc CurrentSince Jun 1, 2024 Accepting new patients
Upmc Chautauqua at Wca CurrentSince Apr 1, 2021 Accepting new patients
Chautauqua County Chapter of Nysarc Inc CurrentSince Jun 1, 2024 Accepting new patients

Locations

186 Lake Shore Dr W
Dunkirk, NY 14048
Phone (716) 366-6125

880 E 2nd St
Jamestown, NY 14701
Phone (716) 661-1400

200 Dunham Ave
Jamestown, NY 14701
Phone (716) 661-1400

51 Glasgow Ave
Jamestown, NY 14701
Phone (716) 487-0141

890 E 2nd St
Jamestown, NY 14701
Phone (716) 661-1447

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

1465 Foote Avenue Ext
Jamestown, NY 14701
Phone (716) 526-4041

20 Gillis Ave
Unit 6
Ridgway, PA 15853
Phone (814) 772-5741

20 Gillis Ave
Ridgway, PA 15853
Phone (716) 526-4041

Interoperability endpoints

  • Direct secure messaging: rking430955@upmc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1780299495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 YUCHA DR",
            "city": "YOUNGSVILLE",
            "state": "PA",
            "postal_code": "163711062",
            "telephone_number": "814-688-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E FAIRMOUNT AVE",
            "city": "LAKEWOOD",
            "state": "NY",
            "postal_code": "147502000",
            "telephone_number": "716-526-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1048 Pennsylvania Ave W",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "PA",
            "postal_code": "163651838",
            "country_code": "US",
            "telephone_number": "814-230-9111",
            "fax_number": "814-313-1075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "RACHEL",
        "middle_name": "E",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2026-08-18",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP022238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rking430955@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, NY

Sources for this page

Verify at the official NPI Registry.