Jessica L King, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0004237 Issued in CO

Practice address

603 28 1/4 Rd
Grand Junction, CO 81506-6019

Phone

(970) 263-2600

Fax

(970) 263-2692

NPI assigned

Jul 17, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jessicaking@gvpc.allscriptsdirect.net

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.

• Community Medical Group

  • Specialist
  • Grand Junction, CO
  • NPI 1689098295
  NPD (past)
• Community Medical Group, LLC

  • Internal Medicine Physician
  • Grand Junction, CO
  • NPI 1043640634
  NPD (past)
• Community Medical Group, LLC

  • Pediatrics Physician
  • Grand Junction, CO
  • NPI 1730505702
  NPD (past)

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1811127319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1687",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815021687",
            "telephone_number": "970-256-6322",
            "fax_number": "970-263-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 28 1/4 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815066019",
            "telephone_number": "970-263-2600",
            "fax_number": "970-263-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2441",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Clark Kimerling, NP
• Meghan Schoenfelder Kimmel, FNP, ACAGNP
• Megan Lee Kincaid, RN, BSN
• Taylor Nicole Kincaid
• Terrill J King-Hamm, RDH
• Jonathan D King, MD
• Kelly King, M.D.
• Megan King
• Michelle King, LCSW
• Nenajoy L. King, R.N.

• Physician Assistant in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.