ANDREA KING (NPI# 1386129898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386129898 |
| Entity Type | Individual |
| Full Name | ANDREA KING |
| Practice Address |
2719 Se I St Bentonville AR 72712-3996 |
| Mailing Address |
10 Cresswell Ln Bella Vista AR 72714-5225 |
| Practice Telephone | 5437479273 |
| Mailing Telephone | 4052466983 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
A005839 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558798777 | Andrea Lashun King | Licensed Practical Nurse | 97 Barberry Ter, Rochester, NY 14621-4160 | 2013-10-02 |
| 1912212713 | Andrea King | Speech-Language Pathologist | 2553 Ridge Road Ext, Baden, PA 15005-2211 | 2010-08-17 |
| 1487719548 | Andrea A King | Counselor | 3595 Canton Rd Ste A9, #217, Marietta, GA 30066-2692 | 2006-12-27 |
| 1891880258 | Andrea J King | Social Worker | 100 Rivendell Drive, Benton, AR 72015 | 2006-10-03 |
| 1326658089 | Andrea King | Pharmacist | 710 Lawrence Expressway, Mob 3rd Floor, Dept 362, Santa Clara, CA 95051 | 2020-08-06 |
| 1174092019 | Andrea King | Dietitian, Registered | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2018-11-21 |
| 1487129722 | Andrea Lee King | Nurse's Aide | 645 Rodi Rd, Pittsburgh, PA 15235-4564 | 2018-10-12 |
| 1497230015 | Andrea King | Orthopaedic Surgery | 12631 E 17th Ave, Aurora, CO 80045-2527 | 2018-09-28 |
| 1811402019 | Andrea King | Behavioral Analyst | 19019 Ventura Blvd, Tarzana, CA 91356-3253 | 2017-12-11 |
| 1154856698 | Andrea Jean King | Counselor | 2775 State Route 39, Shelby, OH 44875 | 2017-04-21 |
| Street Address |
2719 SE I ST |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-3996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487635421 | Whitney Smith Alexander | Pediatrics | 2719 Se I St, Bentonville, AR 72712-3996 | 2005-11-08 |
| 1386944791 | Northwest Arkansas Immunization | Pediatrics | 2719 Se I St, Bentonville, AR 72712-3996 | 2010-11-01 |
| 1396987772 | Robin Rae Hudson | Pediatrics | 2719 Se I St, Bentonville, AR 72712-3996 | 2009-03-31 |
| 1225257553 | Yancy Craft | Pediatrics | 2719 Se I St, Bentonville, AR 72712-3996 | 2007-04-25 |
| 1184692683 | Jason B. Foster | Pediatrics | 2719 Se I St, Bentonville, AR 72712-3996 | 2006-03-09 |
| 1487622387 | Kimberly L. Cadle | Pediatrics | 2719 Se I St, Bentonville, AR 72712-3996 | 2006-03-08 |
| 1356319164 | Bentonville Pediatrics, P.a. | Pediatrics | 2719 Se I St, Bentonville, AR 72712-3996 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609228071 | Brooke Ferguson | Clinical Nurse Specialist | 900 S Main St, Hope, AR 71801-6525 | 2016-07-08 |
| 1295137289 | Arkansas Children's Hospital | Clinical Nurse Specialist | 1 Childrens Way, Little Rock, AR 72202-3500 | 2014-09-22 |
| 1366625634 | Chris Taylor, M.d., P.a. | Clinical Nurse Specialist | 1425 Rock Springs Rd, Harrison, AR 72601-8933 | 2007-12-10 |
| City | BENTONVILLE |
| Zip Code | 72712 |
Please comment or provide details below to improve the information on ANDREA KING.
| 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.