Olivia Michelle King, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L38828 Issued in AR

Practice address

125 E Township St
Suite 1
Fayetteville, AR 72703-2817

Phone

(479) 443-7791

Fax

(479) 443-7791

NPI assigned

Aug 31, 2006

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

Other names 1

• Olivia Michelle Simmers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972615417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "OAKS",
            "state": "OK",
            "postal_code": "743590173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E TOWNSHIP ST",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032817",
            "telephone_number": "479-443-7791",
            "fax_number": "479-443-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "OLIVIA",
        "middle_name": "MICHELLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L38828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "SIMMERS",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kindred Pediatric Therapy, PLC (Post Pediatric Therapies- Fayetteville)
• Ashton King
• Howard King, LMT
• Ina King, APN
• Larry Darl King, MSW
• Robyn King, APRN
• Scott King
• Mason Robert Kinnard, ATC
• Marsha Leanne Kinsey, LPC
• Chassie Allyce Kirby, APN

• Licensed Practical Nurse in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.