Individual provider Active NPI

Anetrial G. King, FNP-C

  • Family Nurse Practitioner
  • Selma, AL
National Provider Identifier
1992229892
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08170065 Issued in AL
Practice address
228 Selma Ave
Selma, AL 36701-5825
Phone
(334) 877-1490
Fax
(334) 877-1491
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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 F08170065 AL Primary

Addresses

Primary practice location

228 Selma Ave
Selma, AL 36701-5825

Mailing address

2017 Arlington Dr
Selma, AL 36701-7102
Phone (334) 327-2442

Other practice location 1

2210 Highway 221
Camden, AL 36726
Phone (334) 682-5772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20171201002311 AL Practitioner - Nurse Practitioner 0345507182 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08170065ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Medical Program, Inc Current Accepting new patients
Rural Health Medical Program, Inc. CurrentSince Aug 26, 2017 Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Rural Health Medical Program, Inc. Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Rural Health Medical Program, Inc. Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Rural Health Medical Program, Inc Current Accepting new patients
Rural Health Medical Program, Inc CurrentSince Aug 26, 2017 Accepting new patients

Locations

2210 Highway 221
Camden, AL 36726
Phone (334) 682-5772

1310 Washington St
Marion, AL 36756
Phone (334) 683-2073

3040 S Alabama Ave
Monroeville, AL 36460
Phone (334) 874-7428

867 County Road 59
Pine Apple, AL 36768
Phone (251) 746-2197

228 Selma Ave
Selma, AL 36701
Phone (334) 874-7428

101 Park Pl
Selma, AL 36701
Phone (334) 526-2200

111 Main St
Thomaston, AL 36783
Phone (334) 627-3497

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4
  • Direct secure messaging: anetrial.king.1@13116.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1992229892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 ARLINGTON DR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017102",
            "telephone_number": "334-327-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 SELMA AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015825",
            "telephone_number": "334-877-1490",
            "fax_number": "334-877-1491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 Highway 221",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "AL",
            "postal_code": "36726",
            "country_code": "US",
            "telephone_number": "334-682-5772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "ANETRIAL",
        "middle_name": "G.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F08170065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.