Shirley Ann King, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10003773 Issued in WA

Practice address

14731 Aurora Ave N
Shoreline, WA 98133-6547

Phone

(206) 365-0220

Fax

(206) 365-6436

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sking169859@ghc.direct-ci.net

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.

• Careplus Medical Centers, Inc

  • Family Medicine Physician
  • Shoreline, WA
  • NPI 1902885635
  NPD (past)
• Sports and Spine

  • Clinic/Center
  • Bellevue, WA
  • NPI 1598255903
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902820913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14008 81ST AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115337",
            "telephone_number": "425-821-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14731 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336547",
            "telephone_number": "206-365-0220",
            "fax_number": "206-365-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA10003773",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Sung Kim
• Erik Anthony Kimbrel
• Soon H Kimm, M.D.
• Lynndee King
• Paulette King
• Toni Ilia King
• Julia Ward Kinnunen
• Erik Nathaniel Kinzer, ARNP
• Becky Louise Kirschner-Henriot, L.M.P
• Kristi A Kiyonaga, M.D.

• Physician Assistant in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.