Individual provider Active NPI

Katie Leigh King, FNP-BC

  • Family Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1982115242
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11022774 Issued in FL
Practice address
27637 US Highway 27
Leesburg, FL 34748-9033
Phone
(352) 326-6011
Fax
(352) 315-0235
NPI assigned
Oct 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN219155 GA
Family Nurse Practitioner 363LF0000X 836051 NV
Family Nurse Practitioner 363LF0000X APRN11022774 FL Primary

Addresses

Primary practice location

27637 US Highway 27
Leesburg, FL 34748-9033

Mailing address

27637 US Highway 27
Leesburg, FL 34748-9033
Phone (352) 326-6011

Other practice location 1

10105 Banburry Cross Dr Ste 250
Las Vegas, NV 89144-6648
Phone (702) 360-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230711001488 FL Practitioner - Nurse Practitioner 1951668631 Reassigns benefits to 1 organization
I20260513002392 NC Practitioner - Nurse Practitioner 1951668631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

11200 Governor Manly Way
Suite 114
Raleigh, NC 27614-7360
Phone (919) 570-7660

27637 US Hwy 27
Leesburg, FL 34748-9033
Phone (352) 326-6011

Hospital & facility affiliations

  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
836051NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc CurrentSince Jun 1, 2023 Accepting new patients
Nmda Anesthesia LLC Past Accepting new patients

Locations

27637 US Highway 27
Leesburg, FL 34748
Phone (352) 326-6001

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1982115242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27637 US HIGHWAY 27",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347489033",
            "telephone_number": "352-326-6011",
            "fax_number": "352-315-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27637 US HIGHWAY 27",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347489033",
            "telephone_number": "352-326-6011",
            "fax_number": "352-315-0235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10105 Banburry Cross Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446648",
            "country_code": "US",
            "telephone_number": "702-360-7600",
            "fax_number": "702-363-3814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "KATIE",
        "middle_name": "LEIGH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN219155",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "836051",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11022774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.