JENNA N. KING (NPI# 1588108187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588108187 |
| Entity Type | Individual |
| Full Name | JENNA N. KING |
| Credential | ARNP |
| Practice Address |
2425 Bradshaw Way Pittsburg KS 66762-6600 |
| Practice Telephone | 6203086123 |
| Practice Fax Number | 6203086264 |
| Mailing Telephone | 6203086123 |
| Mailing Fax Number | 6203086264 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-77499-052 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740839562 | Jenna King | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-09-04 |
| 1942791660 | Jenna King | Behavior Technician | 629 Phoenix Dr Ste 150, Virginia Beach, VA 23452-7341 | 2018-05-29 |
| 1346751245 | Jenna King | Nurse Practitioner | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2017-10-18 |
| 1699206979 | Jenna M King | Counselor | 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 | 2017-03-27 |
| 1366718884 | Jenna Ariel King | Counselor | 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014-3897 | 2012-03-29 |
| 1679864375 | Jenna King | Internal Medicine | 1301 S. Cliff Ave, Suite 300 Plaza 2, Sioux Falls, SD 57105-1032 | 2011-04-28 |
| 1003140872 | Jenna King | Physical Therapist | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2009-09-28 |
| 1083825889 | Jenna King | Counselor | 1 Bethany Rd, Building 3, Suite 42, Hazlet, NJ 07730-1663 | 2007-05-24 |
| Street Address |
2425 BRADSHAW WAY |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780950352 | Jacqueline Margaret Youtsos | Dermatology | 2425 Bradshaw Way, Pittsburg, KS 66762-6600 | 2012-03-28 |
| 1417333220 | Kasi Lynn Hudson | Nurse Practitioner | 2425 Bradshaw Way, Pittsburg, KS 66762 | 2015-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
| 1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
| 1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
| 1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| Find all providers in zip 66762 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476375 | William G Meeks | Nurse Practitioner | 2304 S Stilwell St, Pittsburg, KS 66762-6532 | 2020-08-05 |
| 1205445129 | German Augusto Abarca-paillacho | Nurse Practitioner | 7418 Ne Village Ln, Pittsburg, KS 66762-8568 | 2020-07-27 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1912422106 | Allyson Grimaldi | Nurse Practitioner | 2305 S Tucker Ter, Pittsburg, KS 66762-6608 | 2017-08-08 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1033511266 | Gurcharanjit Kaur | Nurse Practitioner | 1649 Roma Dr, Pittsburg, CA 94565-7989 | 2014-09-18 |
| 1578577532 | Rebecca Jane Adamson | Nurse Practitioner | 410 E Atkinson Ave, Pittsburg, KS 66762-2342 | 2006-07-27 |
| 1255978631 | Crystal Merriman | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-12-05 |
| 1700422490 | Lorraine Kathleen Lorentz | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-11-18 |
| 1407417165 | Samantha K Simpson | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-06-24 |
| Find all providers in PITTSBURG | ||||
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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.