Active NPI
Ronald Stanley King
- Contractor
- Lynnwood, WA
National Provider Identifier
1821499591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- IHS.FS.60417479
- Practice address
- 14813 41St Ave W
Lynnwood, WA 98087-5574 - Phone
- (425) 221-9848
- NPI assigned
- Sep 11, 2014
- Sex
- Male
- Sole proprietor
- No
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.
-
- In Home Supportive Care Agency
- Lynnwood, WA
- NPI 1932822301
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IHS.FS.60417479 | WA | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Independent Living Home Care Inc. | Current | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | IHS.FS.60417479 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
14813 41St Ave W
Lynnwood, WA 98087-5574
Mailing address
14813 41St Ave W
Lynnwood, WA 98087-5574
Phone (425) 221-9848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2014.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1821499591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14813 41ST AVE W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980875574",
"telephone_number": "425-221-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14813 41ST AVE W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980875574",
"telephone_number": "425-221-9848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "RONALD",
"middle_name": "STANLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WA",
"license": "IHS.FS.60417479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.