Active NPI
Anetrial G. King, FNP-C
- Family Nurse Practitioner
- Selma, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F08170065
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F08170065 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | 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 | Current | Accepting new patients | |
| Rural Health Medical Program, Inc | Current | Accepting new patients | |
| Rural Health Medical Program, Inc | Current | 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
- https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4
- 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.
-
- Federally Qualified Health Center (FQHC)
- Marion, AL
- NPI 1437238151
-
- Federally Qualified Health Center (FQHC)
- Vredenburgh, AL
- NPI 1104995208
-
- Federally Qualified Health Center (FQHC)
- Thomaston, AL
- NPI 1215471032
-
- Federally Qualified Health Center (FQHC)
- Pine Apple, AL
- NPI 1295804391
-
- Family Medicine Physician
- Monroeville, AL
- NPI 1457994121
-
- Podiatrist
- Selma, AL
- NPI 1871458927
-
- Federally Qualified Health Center (FQHC)
- Selma, AL
- NPI 1992040950
-
- Federally Qualified Health Center (FQHC)
- Uniontown, AL
- NPI 1033298757
-
- Federally Qualified Health Center (FQHC)
- Camden, AL
- NPI 1760561419
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.