COURTNEY KING (NPI# 1467745950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467745950 |
| Entity Type | Individual |
| Full Name | COURTNEY KING |
| Credential | MD |
| Practice Address |
4702 Starbuck Ave Santa Rosa CA 95409 |
| Mailing Address |
122 Calistoga Rd Ste 620 Santa Rosa CA 95409-3702 |
| Practice Telephone | 7074079071 |
| Mailing Telephone | 7074079071 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A133018 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033657887 | Courtney King | Registered Nurse | 59760 County Road 9, Newcomerstown, OH 43832-9722 | 2017-02-01 |
| 1952509499 | Courtney Dees King | Counselor | 300 Shadow Wood Park, Suite 100, Birmingham, AL 35244-3451 | 2007-07-05 |
| 1053918300 | Courtney King | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3875 | 2020-10-08 |
| 1558976795 | Courtney King | Registered Nurse | 2200 Childrens Way, Nashville, TN 37232-0005 | 2020-09-14 |
| 1437615622 | Courtney King | Occupational Therapy Assistant | 820 3rd Ave, Laurel, MT 59044-2023 | 2019-02-13 |
| 1164923389 | Courtney King | Counselor | 1721 W Plano Pkwy, Plano, TX 75075-8634 | 2018-02-22 |
| 1689192643 | Courtney King | Behavior Technician | 27268 Via Industria, Temecula, CA 92590-3751 | 2017-08-30 |
| 1669824975 | Courtney Brooke King | Occupational Therapist | 1904 Lakeland Dr, Jackson, MS 39216-5038 | 2016-07-11 |
| 1598132920 | Courtney Anne King | Pharmacist | 15149 Snow Rd, Brookpark, OH 44142-2458 | 2015-09-02 |
| 1003297953 | Courtney King | Massage Therapist | 6985 Coal Creek Pkwy Se, Newcastle, WA 98059-3136 | 2015-06-16 |
| Street Address |
4702 STARBUCK AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| 1649590522 | Brigid S. Ryan | Marriage & Family Therapist | 4525 Montgomery Dr, Ste 14, Santa Rosa, CA 95409 | 2010-06-02 |
| Find all providers in zip 95409 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889581 | Herbert Carey Pratt | Family Medicine | 4210 Thomas Lake Harris Dr Apt 217, Santa Rosa, CA 95403-5793 | 2020-01-06 |
| 1346883998 | Teresa Su | Family Medicine | 2200 County Center Dr Ste C, Santa Rosa, CA 95403-3000 | 2019-10-25 |
| 1114468568 | Erica Kumala | Family Medicine | 401 Bicentennial Way Ste 285, Santa Rosa, CA 95403-2149 | 2017-03-18 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1801186648 | Adam Crawford Francis | Family Medicine | 3569 Round Barn Cir Ste 200, Santa Rosa, CA 95403-1757 | 2011-04-13 |
| 1811217003 | Dora Alicia Martinez | Family Medicine | 122 Fm 506, Santa Rosa, TX 78593-0226 | 2010-06-10 |
| 1558518290 | John Andrew Carollo Jr. | Family Medicine | 5555 Montgomery Dr Apt 36, Santa Rosa, CA 95409-5597 | 2008-08-25 |
| 1154577831 | Sutter Medical Group of The Redwoods | Family Medicine | 500 Doyle Park D., 200, Santa Rosa, CA 95405 | 2008-08-13 |
| 1013175918 | Lucia Dei Roncalli | Family Medicine | 1010 Sundown Trl, Santa Rosa, CA 95404-1115 | 2008-05-28 |
| 1265606230 | Jennifer Weiss | Family Medicine | 1212 Farmers Ln Ste 3, Santa Rosa, CA 95405-6747 | 2008-04-21 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
Please comment or provide details below to improve the information on COURTNEY 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.