Nancy Lee King

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA10561 Issued in FL

Practice address

1220 Prospect Ave
Suite 292
Melbourne, FL 32901-7396

Phone

(321) 952-2110

Fax

(321) 952-2692

NPI assigned

Oct 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Campbell Therapy Services, Inc.

  • Occupational Therapy Assistant
  • Melbourne, FL
  • NPI 1427025618
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1871782326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 PROSPECT AVE",
            "address_2": "SUITE 292",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017396",
            "telephone_number": "321-952-2110",
            "fax_number": "321-952-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 PROSPECT AVE",
            "address_2": "SUITE 292",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017396",
            "telephone_number": "321-952-2110",
            "fax_number": "321-952-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "NANCY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA10561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin King, PHARM.D.
• Gloria Rivera King, PH.D., M.A.
• Lakia Shannon King
• Libby Jasmine King, M.A., CCC-SLP
• Melody O. King, M.D.
• Richard Thomas King V, PT
• Emma Kingett
• Scott D Kingsbury, ORTHOPEDIC THERAPIST
• Kristen Kinker, OTR/L
• Kathryn Kinney, LCSW, BCBA

• Occupational Therapy Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.