WENDY KING (NPI# 1700366655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700366655 |
Entity Type | Individual |
Full Name | WENDY KING |
Credential | FNP-C |
Practice Address |
3060 Duncan Dr Shreveport LA 71119-2302 |
Practice Telephone | 3189902788 |
Mailing Telephone | 3189902788 |
Enumeration Date | 2018-08-20 |
Last Update Date | 2018-08-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
FN8180306 | LA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841583739 | Wendy Kay King | Registered Nurse | 251 S. Pine Grove Road, Stanton, MI 48888 | 2011-05-25 |
1114132677 | Wendy M King | Physical Therapist | 389 Mc Campbell Hall, 1581 Dodd Dr., Columbus, OH 43210-1205 | 2007-05-10 |
1528184181 | Wendy Jean King | Physician Assistant | 1275 Elm Street, West Springfield, MA 01089 | 2007-03-22 |
1235210451 | Wendy Burleigh King | Nurse Practitioner | 2523 E Garfield St, Suite B, Laramie, WY 82070-4989 | 2006-10-17 |
1508833724 | Wendy L King | Internal Medicine | 200 Health Park Drive, Owosso, MI 48867 | 2006-03-07 |
1760082572 | Wendy King | Homemaker | 19 Main St, Elkins, WV 26241-3125 | 2020-10-30 |
1336781772 | Wendy Lynn King | Nurse Practitioner | 120 King St, Jacksonville, FL 32204-2410 | 2019-10-16 |
1437674181 | Wendy Dyanne King | Behavioral Analyst | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-08-03 |
1356894372 | Wendy King | Physical Therapist | 192 Tilley Dr, South Burlington, VT 05403-4440 | 2016-07-26 |
1528410404 | Wendy King | Occupational Therapist | 1820 Shore Dr S, South Pasadena, FL 33707-4601 | 2016-07-05 |
Street Address |
3060 DUNCAN DR |
City | SHREVEPORT |
State | LA |
Zip Code | 71119-2302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912549825 | Andrea Lekesha Brown | Case Manager/Care Coordinator | 3518 Milky Way, Shreveport, LA 71119 | 2019-10-11 |
1003380213 | Eiyana Middleton | Case Manager/Care Coordinator | 5720 S Lakeshore Dr Apt 1711, Shreveport, LA 71119 | 2019-01-22 |
1508341264 | Cassandra Marshall | Case Manager/Care Coordinator | 5905 Candlewood, Shreveport, LA 71119 | 2018-09-28 |
1184125734 | Shunda Huff | Case Manager/Care Coordinator | 5636 S Lakeshore Dr Apt 632, Shreveport, LA 71119 | 2018-02-27 |
1093239162 | Nicole Devona Wahsington | Counselor | 2811 Metal Street, Shreveport, LA 71119 | 2017-07-31 |
1396266318 | Cynthia M Thomas | Driver | 6407 Santa Monica Blvd., Shreveport, LA 71119 | 2017-06-29 |
1154861771 | Allan Thomas | Case Manager/Care Coordinator | 3205 Linda St, Shreveport, LA 71119 | 2017-03-01 |
1366984312 | Demetria Carter | Counselor | 4164 Mcmichael Ave, Shreveport, LA 71119 | 2016-11-08 |
1033667712 | Mary Craig | Case Manager/Care Coordinator | 6215 Border Ln, Shreveport, LA 71119 | 2016-09-12 |
1538615067 | Jesse Fallis | Counselor | New Day Recovery/ Shreveport, 6240 Greenwood Rd, Shreveport, LA 71119 | 2016-08-25 |
Find all providers in zip 71119 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
1801407325 | Mariagoretti Lumnwi Niba | Nurse Practitioner | 1535 River Parkway Blvd Apt 708, Shreveport, LA 71104-1809 | 2020-08-10 |
1437768447 | Sheena Renaye Youngblood | Nurse Practitioner | 1453 E Bert Kouns Industrial Loop Ste 112, Shreveport, LA 71105-6810 | 2020-07-26 |
1285265397 | Karen Elizabeth Jordan | Nurse Practitioner | 172 Southfield Rd, Shreveport, LA 71105-3721 | 2020-01-28 |
1235776709 | Malene Nilaja Coleman | Nurse Practitioner | 1811 E Bert Kouns Industrial Loop Unit 210, Shreveport, LA 71105-5740 | 2019-12-04 |
1417504093 | Roberto Rodriquez Monsanto II | Nurse Practitioner | 3724 Baxter St, Shreveport, LA 71109-7402 | 2019-08-20 |
1275188757 | Sara Vergis | Nurse Practitioner | 10453 Keysburg Ct, Shreveport, LA 71106-7785 | 2019-08-02 |
1457912800 | Ema-chanel Johnson | Nurse Practitioner | 8219 Spring Valley Cir, Shreveport, LA 71107-8609 | 2019-06-26 |
1083170666 | Vanisha Faye Williams | Nurse Practitioner | 8857 Hedges Dr, Shreveport, LA 71118-2008 | 2019-02-19 |
1619490166 | Kaytlin H Hughes | Nurse Practitioner | 6821 Pines Rd Ste 100, Shreveport, LA 71129-2547 | 2017-07-17 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71119 |
Please comment or provide details below to improve the information on WENDY 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.