Individual provider Active NPI

Nicole King, CPNP

  • Pediatric Nurse Practitioner
  • Cary, NC
National Provider Identifier
1871183483
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5013972 Issued in NC
Practice address
100 Duke Health Cary PL Ste 210
Cary, NC 27519-6760
Phone
(919) 385-4650
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5013972 NC Primary

Addresses

Primary practice location

100 Duke Health Cary PL Ste 210
Cary, NC 27519-6760

Mailing address

1212 Carrington Dr
Raleigh, NC 27615-1215
Phone (919) 368-4317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210511002027 NC Practitioner - Nurse Practitioner 8224447875 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affliated Physicians, Inc CurrentSince Nov 29, 2021 Accepting new patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Duke University Affiliated Physicians, Inc. Pediatrics Current Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Nov 29, 2021 Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 210
Cary, NC 27519
Phone (919) 385-4650

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

2609 N Duke St
Ste 1000
Durham, NC 27704
Phone (919) 220-4000

5315 Highgate Dr
Ste 103
Durham, NC 27713
Phone (770) 287-4325

401 Irving Pkwy
Ste 230
Holly Springs, NC 27540
Phone (919) 385-8850

401 Irving Pkwy
Ste 110
Holly Springs, NC 27540
Phone (919) 385-3022

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1871183483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 CARRINGTON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151215",
            "telephone_number": "919-368-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DUKE HEALTH CARY PL STE 210",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196760",
            "telephone_number": "919-385-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "NICOLE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5013972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.