MRS. ANGELA L KING (NPI# 1528434222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528434222 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA L KING |
| Other Name | ANGELA L SUMPTER |
| Credential | FNP |
| Practice Address |
2905 N Main St Decatur IL 62526-4274 |
| Mailing Address |
4731 Barberry Ct Decatur IL 62526-9329 |
| Practice Telephone | 2178779117 |
| Practice Fax Number | 2178773081 |
| Mailing Telephone | 2177912003 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209013099 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118529 | Angela Renee King | Counselor | 824 Columbus St Apt 403, Rapid City, SD 57701-3579 | 2020-09-10 |
| 1346613791 | Angela Jane King | Specialist | 913 N Frace St, Tacoma, WA 98406-2121 | 2015-11-06 |
| 1952797862 | Angela Jean King | Pediatrics | 2004 Airport Rd Sw Ste 1, Huntsville, AL 35801 | 2015-04-08 |
| 1871745687 | Angela D. King | Psychologist | 2108 W Vista St, Springfield, MO 65807-5918 | 2008-10-13 |
| 1386814507 | Angela King | Driver | 5311 Northfield Rd # 12, Bedford Hts, OH 44146-1135 | 2008-03-04 |
| 1265647549 | Angela Louise King | Dental Hygienist | 1033 East Wilcox Ave., White Cloud, MI 49349 | 2007-05-11 |
| 1649496415 | Angela Dawn King | Chiropractor | 3655 Cherokee St Nw Ste 5, Kennesaw, GA 30144 | 2007-04-18 |
| 1942335534 | Angela S King | Dentist | 9019 Lima Road, Fort Wayne, IN 46818 | 2007-02-22 |
| 1588210892 | Angela Smith King | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2019-08-13 |
| 1962976233 | Angela Renee King | Behavioral Analyst | 858 E 29th St, Brooklyn, NY 11210-2927 | 2019-01-19 |
| Street Address |
2905 N MAIN ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-4274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993405 | John C. Kefalas, M.d.,s.c. | Orthopaedic Surgery | 2905 N Main St, Suite G, Decatur, IL 62526-4276 | 2005-06-28 |
| 1508315086 | Decatur Open Mri, Inc. | Clinic/Center | 2905 N Main St, Suite F, Decatur, IL 62526-4276 | 2016-09-26 |
| 1821407818 | Brentny Renfro | Physician Assistant | 2905 N Main St, Decatur, IL 62526-4274 | 2014-08-05 |
| 1073946141 | Gabrielle K. Sauder | Nurse Practitioner | 2905 N Main St, Decatur, IL 62526-4274 | 2013-08-13 |
| 1770836991 | Community Health Improvement Center | Social Worker | 2905 N Main St, Decatur, IL 62526-4274 | 2012-10-25 |
| 1528349834 | Jessica Ann Conlin | Nurse Practitioner | 2905 N Main St, Decatur, IL 62526-4274 | 2011-08-31 |
| 1285930578 | Amy E Marsili | Social Worker | 2905 N Main St, Decatur, IL 62526-4274 | 2011-02-03 |
| 1053620930 | Cami Jo Kistenfeger | Physician Assistant | 2905 N Main St, Ste. G, Decatur, IL 62526-4274 | 2010-09-27 |
| 1447568605 | Allison M Raiha | Dietitian, Registered | 2905 N Main St, Decatur, IL 62526-4274 | 2010-09-21 |
| 1518132877 | Manisha Ahuja | Internal Medicine | 2905 N Main St, Decatur, IL 62526-4274 | 2008-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1790383776 | Angela Tope Adeleke | Nurse Practitioner | 3185 Georgian Woods Cir, Decatur, GA 30034-5105 | 2020-10-13 |
| 1417564147 | Jigna Patel | Nurse Practitioner | 1963 Don Juan Ln, Decatur, GA 30032-4218 | 2020-09-27 |
| 1659983856 | Emilie Carsell Mathias | Nurse Practitioner | 2208 N Crossing Way, Decatur, GA 30033-4175 | 2020-08-19 |
| 1275151078 | Tiffanie Marshall Mcguire | Nurse Practitioner | 2042 Beltline Rd Sw Ste B101, Decatur, AL 35601-5571 | 2020-07-08 |
| 1922623610 | Anastasiya A Drogoul | Nurse Practitioner | 2675 N Decatur Rd Ste 404, Decatur, GA 30033-6133 | 2020-06-09 |
| 1174156244 | Anne Marie Strickland | Nurse Practitioner | 3109 Vicksburg Pl Sw, Decatur, AL 35603-3107 | 2020-02-18 |
| 1174161822 | Allison Leanne Hall | Nurse Practitioner | 304 W Hay St Ste 312, Decatur, IL 62526-4170 | 2019-12-12 |
| 1396387866 | Elizabeth Nichole Mathews | Nurse Practitioner | 2301 S Fm 51 Ste 100, Decatur, TX 76234-3864 | 2019-10-16 |
| 1861040479 | Oladunni Funmi Faminu | Nurse Practitioner | 2701 N Decatur Rd # 2400, Decatur, GA 30033-5918 | 2019-08-27 |
| Find all providers in DECATUR | ||||
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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.