Active NPI
Renee King, PA-C
- Physician Assistant
- Portsmouth, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110-005011
- Practice address
- 3636 High St
Portsmouth, VA 23707-3236 - Phone
- (757) 398-2427
- NPI assigned
- Jul 7, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110-005011 | VA | Primary |
Addresses
Primary practice location
3636 High St
Portsmouth, VA 23707-3236
Mailing address
520 Caren Dr
Virginia Beach, VA 23452-3514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Eastern Virginia Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673
7185 Harbour Towne Pkwy S
Suite 108
Suffolk, VA 23435-3796
Phone (757) 541-1400
Hospital & facility affiliations
- Bon Secours Harbour View Medical Center
- Bon Secours Maryview Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-005011 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Tidewater Emergency Medical Care | Physician Assistant | Past | Accepting new patients |
Locations
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
930 W 21st St
#1
Norfolk, VA 23517
3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200
3640 High St
Ste 1E
Portsmouth, VA 23707
Phone (757) 398-2200
3636 High St
Fl 6
Portsmouth, VA 23707
8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462
5838 Harbour View Blvd
Ste 290
Suffolk, VA 23435
Phone (757) 541-1700
5838 Harbour View Blvd
Ste 270
Suffolk, VA 23435
Phone (757) 541-1050
828 Healthy Way
Ste 220
Virginia Beach, VA 23462
Phone (757) 305-1797
Interoperability endpoints
- rking1152709@direct.bsmhealth.org
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.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
-
- Emergency Medicine Physician
- Chesapeake, VA
- NPI 1710991153
-
- Physician Assistant
- Chesapeake, VA
- NPI 1295366201
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1104658434
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1922481084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 CAREN DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234523514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 HIGH ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073236",
"telephone_number": "757-398-2427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "RENEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-005011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.