ASHLEY KING (NPI# 1366821464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366821464 |
| Entity Type | Individual |
| Full Name | ASHLEY KING |
| Credential | PMHNP |
| Practice Address |
2045 Fairmont Dr San Leandro CA 94578-1088 |
| Mailing Address |
160 Clairemont Ave Ste 445 Decatur GA 30030-2574 |
| Practice Telephone | 5106677553 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2017-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN261458 | GA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 95039929 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN261458 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735576 | Ashley B King | Student in an Organized Health Care Education/Training Program | 2000 Grenville Ct, Trent Woods, NC 28562-7204 | 2020-06-21 |
| 1558839704 | Ashley King | Physical Therapist | 900 W 1st Ave, Denver, CO 80223-1547 | 2018-11-06 |
| 1013455146 | Ashley King | Nurse Practitioner | 1601 Arbor Dr, Willoughby, OH 44094-5332 | 2017-02-09 |
| 1770030363 | Ashley King | Student in an Organized Health Care Education/Training Program | 1207 Patrick Dr, Fenton, MO 63026-4317 | 2016-09-01 |
| 1508222050 | Ashley E. King | Counselor | 201 S. Camac Street, 2nd Floor, Philadelphia, PA 19107 | 2016-01-13 |
| 1881050094 | Ashley Lauren King | Midwife | 712 N. Houston Avenue Suite B, New Braunfels, TX 78130 | 2016-01-05 |
| 1093194326 | Ashley Christine King | Doula | 3711 Robin Hood Trl, San Angelo, TX 76901-4822 | 2015-05-19 |
| 1205114212 | Ashley Nicole King | Specialist/Technologist | 14199 110th Ter, Largo, FL 33774-4442 | 2011-07-25 |
| 1487712428 | Ashley King | Speech-Language Pathologist | 2208 Fowler Ave Ste C, Jonesboro, AR 72401-6187 | 2006-12-04 |
| 1356320717 | Ashley Bovee King | Physical Therapist | 2621 Ridgepoint Dr, Suite 140, Austin, TX 78754-5232 | 2006-01-13 |
| Street Address |
2045 FAIRMONT DR |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-1088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295713386 | Luisito M Roxas | Psychiatry & Neurology | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2006-01-09 |
| 1356999668 | Berna Palavra | Student in an Organized Health Care Education/Training Program | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2019-08-29 |
| 1346898657 | Yessenia Valencia | Student in an Organized Health Care Education/Training Program | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2019-08-29 |
| 1003335514 | Jacqueline M Schiano | Rehabilitation Counselor | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2017-09-15 |
| 1336663574 | Madelaine S Alejandro | Student in an Organized Health Care Education/Training Program | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2017-07-31 |
| 1740630037 | Ashantai Ellington | Student in an Organized Health Care Education/Training Program | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2016-06-16 |
| 1801242243 | Christina Cox | Student in an Organized Health Care Education/Training Program | 2045 Fairmont Dr, Eden Csc, San Leandro, CA 94578-1088 | 2016-05-04 |
| 1467828863 | Emily Nicole Daniel | Counselor | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2015-08-19 |
| 1184018442 | Lydia Idella Apple | Student in an Organized Health Care Education/Training Program | 2045 Fairmont Dr, Eden Csc, San Leandro, CA 94578-1088 | 2015-03-25 |
| 1700205499 | Cara Fischer | Social Worker | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2014-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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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.