Jamie Leigh King, APN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

209009058 Issued in IL

Practice address

3300 W Willow Knolls Dr
Peoria, IL 61614-8121

Phone

(309) 683-0200

Fax

(309) 683-0201

NPI assigned

Aug 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jamie Janowiak Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lindsey Ma, MD, SC

  • Gynecology Physician
  • Peoria, IL
  • NPI 1821180688
  Medicare reassignment NPD

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1942589551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W WILLOW KNOLLS DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148121",
            "telephone_number": "309-683-0200",
            "fax_number": "309-683-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W WILLOW KNOLLS DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148121",
            "telephone_number": "309-683-0200",
            "fax_number": "309-683-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2426 W Cornerstone Ct",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616142492",
            "country_code": "US",
            "telephone_number": "309-966-3137",
            "fax_number": "309-966-3139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E Armstrong Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616033172",
            "country_code": "US",
            "telephone_number": "309-680-7600",
            "fax_number": "309-495-8614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JAMIE",
        "middle_name": "LEIGH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "104-36-4384",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209009058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "JANOWIAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyu Kim, M.D.
• Paul H Kim, MD
• Kindred Healthcare Operating, LLC
• Kindred LLC
• Kathie Kindred, APN
• Janette King
• Kristin M King, CNM
• Michelle Lee King, APRN
• Natilie K King, OTR/L
• Meghan Kingdon

• Women's Health Nurse Practitioner in Peoria, IL
• Providers in Peoria, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.