Active NPI
Carolyn Jan King
- Registered Dietitian
- Madison, AL
National Provider Identifier
1871749101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1984
- Practice address
- 11092 Dove Dr
Madison, AL 35756-4300 - Phone
- (810) 908-9339
- NPI assigned
- Aug 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1984 | AL | Primary |
Addresses
Primary practice location
11092 Dove Dr
Madison, AL 35756-4300
Mailing address
11092 Dove Dr
Madison, AL 35756-4300
Phone (810) 908-9339
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1984 | AL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1871749101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11092 DOVE DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357564300",
"telephone_number": "810-908-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11092 DOVE DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357564300",
"telephone_number": "810-908-9339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CAROLYN",
"middle_name": "JAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "1984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.