MAYA TIFFANY JACQUELINE KING (NPI# 1538702170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538702170 |
| Entity Type | Individual |
| Full Name | MAYA TIFFANY JACQUELINE KING |
| Credential | CPNP |
| Practice Address |
105 S Shore Ter Fayetteville GA 30214-7399 |
| Practice Telephone | 7703499698 |
| Mailing Telephone | 7703499698 |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2019-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
290689 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063995918 | Maya King | Nurse Practitioner | 16133 Ventura Blvd Ste 360, Encino, CA 91436-2426 | 2018-09-06 |
| Street Address |
105 S SHORE TER |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-7399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750686762 | Angela Marie Guidry | Nurse Practitioner | 1572 Highway 85 N Ste 203, Fayetteville, GA 30214-7726 | 2011-01-21 |
| 1093964975 | Brenda Carole Hayek | Nurse Practitioner | 735 Glynn Street S, Fayetteville, GA 30215 | 2008-09-16 |
| 1427182492 | Michelle L Roark | Nurse Practitioner | 3322 Melrose Rd, Fayetteville, NC 28304-1604 | 2007-03-14 |
| 1902891450 | Phyllis K Marion | Nurse Practitioner | 1601 Owen Dr, Sr-ahec Specialty Medical Center, Fayetteville, NC 28304-3425 | 2005-09-12 |
| 1891306692 | Katlin Lee Yokeley | Nurse Practitioner | 1540 Purdue Dr Ste 101, Fayetteville, NC 28303-5510 | 2020-08-14 |
| 1912567447 | Mallory Washington | Nurse Practitioner | 101 Yorktown Dr Ste 102, Fayetteville, GA 30214-1578 | 2019-06-17 |
| 1710473111 | Cari Addington | Nurse Practitioner | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2018-07-09 |
| 1063915049 | Alexa M Walker | Nurse Practitioner | 5617 Ramsey St, Fayetteville, NC 28311 | 2018-03-15 |
| 1801124334 | Barbara Jean Chapman-nellis | Nurse Practitioner | 1235 Ramsey Street, Fayetteville, NC 28301 | 2009-11-20 |
| 1144466921 | Katie Jean Poole | Nurse Practitioner | 509 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2008-12-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on MAYA TIFFANY JACQUELINE 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.