Active NPI
Kim King
- Licensed Practical Nurse
- Willingboro, NJ
National Provider Identifier
1912495185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 26NP07553500
- Practice address
- 2 Buttercup LN
Willingboro, NJ 08046-1523 - Phone
- (609) 770-1364
- NPI assigned
- Apr 24, 2018
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 26NP07553500 | NJ | Primary |
Addresses
Primary practice location
2 Buttercup LN
Willingboro, NJ 08046-1523
Mailing address
2 Buttercup LN
Willingboro, NJ 08046-1523
Other practice location 1
2 Buttercup Ln
Willingboro, NJ 08046-1523
Phone (609) 770-1364
Other practice location 2
2 Buttercup Ln
Willingboro, NJ 08046-1523
Phone (609) 770-1364
Other practice location 3
2 Buttercup Ln
Willingboro, NJ 08046-1523
Phone (609) 770-1364
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 |
|---|---|---|---|
| 26NP07553500 | NJ | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1912495185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BUTTERCUP LN",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080461523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BUTTERCUP LN",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080461523",
"telephone_number": "609-770-1364"
}
],
"practiceLocations": [
{
"address_1": "2 Buttercup Ln",
"address_purpose": "LOCATION",
"city": "Willingboro",
"state": "NJ",
"postal_code": "080461523",
"country_code": "US",
"telephone_number": "609-770-1364",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Buttercup Ln",
"address_purpose": "LOCATION",
"city": "Willingboro",
"state": "NJ",
"postal_code": "080461523",
"country_code": "US",
"telephone_number": "609-770-1364",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Buttercup Ln",
"address_purpose": "LOCATION",
"city": "Willingboro",
"state": "NJ",
"postal_code": "080461523",
"country_code": "US",
"telephone_number": "609-770-1364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "KIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NJ",
"license": "26NP07553500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willingboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.