KATIE D KING (NPI# 1316223779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316223779 |
| Entity Type | Individual |
| Full Name | KATIE D KING |
| Credential | PA-C |
| Practice Address |
310 Sunnyview Ln Kalispell MT 59901-3129 |
| Mailing Address |
140 Seely Lane Po Box 927 Kila MT 59920-0927 |
| Practice Telephone | 4067521733 |
| Mailing Telephone | 4064071208 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 69320 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA162738 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | CURRY MEDICAL CENTER'S MEDICARE PART B | R0000ZGBDG | 01 |
| OR | CURRY HEALTH DISTRICT'S TAX ID | 93-0937095 | 01 |
| OR | CURRY MEDICAL CENTER'S MEDICAID | 119263 | 01 |
| OR | 500658828 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 94220 4th St, Gold Beach, OR 97444 | 5412473000 | 5412473101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356652069 | Katie Lynne King | Speech-Language Pathologist | 2501 Cascadilla St, Durham, NC 27704-4405 | 2010-06-28 |
| 1972080711 | Katie King | Counselor | 1184 Mcgee Ct Ne, Keizer, OR 97303-9443 | 2018-07-24 |
| 1780188870 | Katie King | Behavioral Analyst | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2018-03-22 |
| 1992211437 | Katie Jean King | Nurse Anesthetist, Certified Registered | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-12-20 |
| 1982115242 | Katie Leigh King | Nurse Practitioner | 3970 Deputy Bill Cantrell Memorial Road, Ste 100, Cumming, GA 30040 | 2017-10-13 |
| 1184157240 | Katie Lou King | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2017-04-06 |
| 1790137669 | Katie King | Nurse Practitioner | 8261 Cornell Rd Ste 630, Cincinnati, OH 45249-2279 | 2016-07-05 |
| 1598108292 | Katie King | Social Worker | 971 Main St, Lancaster, MA 01523-2569 | 2013-04-11 |
| 1609171651 | Katie King | Counselor | 1058 Ne 12th St, Bend, OR 97701-4412 | 2011-01-24 |
| 1295910354 | Katie S King | Chiropractor | 800 Roosevelt Rd, Ste E-220, Glen Ellyn, IL 60137-5839 | 2008-01-07 |
| Street Address |
310 SUNNYVIEW LN |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115678 | Harley John Brotherton II | Pharmacist | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2005-09-20 |
| 1619584216 | Maren Erpelding | Nurse Practitioner | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2020-09-28 |
| 1679186795 | John Harrison | Speech-Language Pathologist | 310 Sunnyview Ln, Kalispell, MT 59901-3199 | 2020-08-28 |
| 1871129296 | Melanie Greyn Fretwell | Dietitian, Registered | 310 Sunnyview Ln, Kalispell, MT 59901-3199 | 2020-03-17 |
| 1558992198 | Laura Pierson | Nurse Practitioner | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2020-02-02 |
| 1366009466 | Noelle Lynn Baldwin | Speech-Language Pathologist | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2019-05-23 |
| 1821560079 | Dorothy Ann Campbell | Nurse Practitioner | 310 Sunnyview Ln, Kalispell, MT 59901-3199 | 2018-12-28 |
| 1851866552 | Tiana Pallister | Genetic Counselor, MS | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2018-10-09 |
| 1447738125 | Courtney Rudbach | Counselor | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2018-08-03 |
| 1467948737 | Jennifer L Schaffner | Social Worker | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023183993 | Susan Cahill | Physician Assistant | 40 2nd St E, Suite 225, Kalispell, MT 59901-6110 | 2006-11-22 |
| 1124197595 | Jill S Thorn | Physician Assistant | 210 Sunnyview Ln Ste 105, Kalispell, MT 59901-3128 | 2006-11-07 |
| 1578518692 | Kathleen White Wilson | Physician Assistant | 75 Claremont St Ste A, Kalispell, MT 59901-3500 | 2006-05-24 |
| 1104892678 | North Valley Hospital, Inc | Physician Assistant | 195 Commons Loop Ste D, Kalispell, MT 59901 | 2006-02-24 |
| 1073164257 | Kaitlyn Rose Sterry | Physician Assistant | 2316 Us Highway 93 N, Kalispell, MT 59901-2547 | 2019-09-27 |
| 1639617376 | Greta Beil | Physician Assistant | 1035 1st Ave W, Kalispell, MT 59901-5607 | 2017-02-02 |
| 1588116586 | Erik Hulebak | Physician Assistant | 1287 Burns Way, Kalispell, MT 59901-3109 | 2016-10-26 |
| 1639628761 | Mattie Murphy | Physician Assistant | 1333 Surgical Services Way, Kalispell, MT 59901-4844 | 2016-09-30 |
| 1801261573 | Ross Richard Van Brunt | Physician Assistant | 350 Heritage Way Ste 1200, Kalispell, MT 59901-3160 | 2015-12-07 |
| 1164814836 | Justin Shobe | Physician Assistant | 205 Sunnyview Ln, Kalispell, MT 59901-3120 | 2015-03-04 |
| Find all providers in KALISPELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.