Tina King
Individual provider Active NPI Registered Nurse · Greenup, KY
NPI 1821980897 · NPPES record last updated Feb 24, 2026
Key facts
- NPI
- 1821980897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1123904 (KY)
- Practice address
- 57 Dora LN
Greenup, KY 41144-1187 - Phone
- (866) 233-1955
- NPI assigned
- Jul 16, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1123904 | KY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1123904 | KY | Yes |
Addresses
Primary practice location
57 Dora LN
Greenup, KY 41144-1187
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other providers in Greenup, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.