Active NPI
Kina Rebecca King, CAREGIVER
- Nurse's Aide
- Milwaukee, WI
National Provider Identifier
1831407592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 376K00000X
- Practice address
- 4308 N 67TH St
Milwaukee, WI 53216-1111 - Phone
- (414) 241-3798
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 376K00000X | WI | Primary |
Addresses
Primary practice location
4308 N 67TH St
Milwaukee, WI 53216-1111
Mailing address
4308 N 67TH St
Milwaukee, WI 53216-1111
Phone (414) 241-3798
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 |
|---|---|---|---|
| 376K00000X | WI | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1831407592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4308 N 67TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532161111",
"telephone_number": "414-241-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4308 N 67TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532161111",
"telephone_number": "414-241-3798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KINA",
"middle_name": "REBECCA",
"name_prefix": "Miss",
"credential": "CAREGIVER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WI",
"license": "376K00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.