Individual provider Active NPI

Ronald Stanley King

  • Contractor
  • Lynnwood, WA
National Provider Identifier
1821499591
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
IHS.FS.60417479 Issued in WA
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.

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

LicenseStateTypeSpecialty
IHS.FS.60417479WAMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Independent Living Home Care Inc. CurrentSince Sep 25, 2022 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X IHS.FS.60417479 WA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.