Individual provider Active NPI

Helen Kayleen King, NP-C

  • Family Nurse Practitioner
  • Alton, MO
National Provider Identifier
1992214407
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017020821 Issued in MO
Practice address
100 Medical Drive
Alton, MO 65606
Phone
(417) 778-7227
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017020821 MO Primary

Addresses

Primary practice location

100 Medical Drive
Alton, MO 65606

Mailing address

PO Box 468
Alton, MO 65606-0468
Phone (417) 778-7227

Other practice location 1

300 Warmfork Rd
Thayer, MO 65791-7514
Phone (417) 264-7136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20171030002954 MO Practitioner - Nurse Practitioner 2668748021 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
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians

Practice addresses (Care Compare)

1375 Nettleton Ave
Ozarks Healthcare Thayer
Thayer, MO 65791-8740
Phone (417) 264-7136

Hospital & facility affiliations

  • Ozarks Healthcare Hospital, West Plains, MO, CCN 260078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017020821MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center CurrentSince Oct 16, 2017 Accepting new patients
Ozarks Medical Center CurrentSince Oct 16, 2017 Accepting new patients

Locations

100 Medical Dr
Alton, MO 65606
Phone (417) 778-7227

300 Warmfork Rd
Thayer, MO 65791
Phone (417) 264-7136

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Interoperability endpoints

  • Direct secure messaging: helenking@omcmo.allscriptsdirect.net

Organizations & group practices 2

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": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992214407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "ALTON",
            "state": "MO",
            "postal_code": "656060468",
            "telephone_number": "417-778-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DRIVE",
            "city": "ALTON",
            "state": "MO",
            "postal_code": "65606",
            "telephone_number": "417-778-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Warmfork Rd",
            "address_purpose": "LOCATION",
            "city": "Thayer",
            "state": "MO",
            "postal_code": "657917514",
            "country_code": "US",
            "telephone_number": "417-264-7136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "HELEN",
        "middle_name": "KAYLEEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017020821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, MO

Sources for this page

Verify at the official NPI Registry.