Individual provider Active NPI

Katie King, NP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1790137669
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019476 Issued in OH
Practice address
4760 Red Bank Rd Ste 104
Cincinnati, OH 45227-1549
Phone
(513) 981-4444
Fax
(513) 271-4737
NPI assigned
Jul 5, 2016
Last updated
May 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 APRN.CNP.019476 OH Primary

Addresses

Primary practice location

4760 Red Bank Rd Ste 104
Cincinnati, OH 45227-1549

Mailing address

4760 Red Bank Rd Ste 104
Cincinnati, OH 45227-1549
Phone (513) 981-4444

Other practice location 1

8261 Cornell Rd Ste 630
Cincinnati, OH 45249-2279
Phone (513) 891-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161021001648 OH Practitioner - Nurse Practitioner 3678851862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4760 Red Bank Rd
Suite 104
Cincinnati, OH 45227-1549
Phone (513) 981-4444

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Jun 19, 2022 Accepting new patients
Cincinnati Pain Physicians LLC CurrentSince Aug 31, 2016 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Jun 19, 2022 Accepting new patients

Locations

4760 Red Bank Rd
Ste 104
Cincinnati, OH 45227
Phone (513) 271-4488

8261 Cornell Rd
Ste 630
Cincinnati, OH 45249
Phone (513) 247-3523

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: kking848428@direct.bsmhealth.org

Organizations & group practices 3

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 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": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1790137669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 RED BANK RD STE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271549",
            "telephone_number": "513-981-4444",
            "fax_number": "513-271-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 RED BANK RD STE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271549",
            "telephone_number": "513-981-4444",
            "fax_number": "513-271-4737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8261 Cornell Rd Ste 630",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452492279",
            "country_code": "US",
            "telephone_number": "513-891-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "KATIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.