Individual provider Active NPI

Tiana S King, DNP, FNP-BC PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1821799974
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11047537 Issued in FL
Practice address
3705 Big Bass Rd
Kissimmee, FL 34744-9329
Phone
(321) 252-6560
Fax
(321) 780-8766
NPI assigned
Mar 15, 2023
Last updated
Jun 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11047537 FL
Family Nurse Practitioner 363LF0000X 289078 AZ
Family Nurse Practitioner 363LF0000X RN2274221 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11047537 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 289078 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2274221 MA

Addresses

Primary practice location

3705 Big Bass Rd
Kissimmee, FL 34744-9329

Mailing address

2830 E Osceola Pkwy Ste 122
Kissimmee, FL 34743-6027
Phone (321) 252-6560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230428002711 AZ Practitioner - Nurse Practitioner 8921463761 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289078AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adelante Healthcare, Inc. Current Accepting new patients
Integral Health & Healing, PLLC Psychiatric/Mental Health Current Accepting new patients
Adelante Healthcare, Inc CurrentSince Jun 1, 2023 Accepting new patients
Adelante Healthcare, Inc CurrentSince Jun 1, 2023 Accepting new patients
Trident Clinical PLLC CurrentSince Aug 27, 2023 Accepting new patients

Locations

20340 N Lake Pleasant Rd
Ste 109
Peoria, AZ 85382
Phone (623) 299-9988

3033 N Central Ave
Ste 145
Phoenix, AZ 85012

9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 618-0002

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

2830 E Osceola Pkwy
Kissimmee, FL 34743

3705 Big Bass Rd
Kissimmee, FL 34744

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10368/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1821799974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 E OSCEOLA PKWY STE 122",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347436027",
            "telephone_number": "321-252-6560",
            "fax_number": "321-780-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 BIG BASS RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347449329",
            "telephone_number": "321-252-6560",
            "fax_number": "321-780-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TIANA",
        "middle_name": "S",
        "credential": "DNP, FNP-BC PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11047537",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "289078",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2274221",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11047537",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "289078",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2274221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.