GEORGE KEITH KING (NPI# 1760822084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760822084 |
| Entity Type | Individual |
| Full Name | GEORGE KEITH KING |
| Credential | FNP |
| Practice Address |
307 Buckeye Ridge Loop Deville LA 71328-8515 |
| Mailing Address |
919 Hidden Rdg Irving TX 75038-3813 |
| Practice Telephone | 3186134762 |
| Mailing Telephone | 4692822711 |
| Mailing Fax Number | 4692822609 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP07397 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP07397 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2369199 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3330 Masonic Dr, Alexandria, LA 713013841 | 3184422400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265500052 | George Rutherford King | Chiropractor | 1628 Broadway, Eureka, CA 95501 | 2006-12-01 |
| 1720186810 | George T King | Dentist | 5084 N Fruit Ave Ste 101, Fresno, CA 93711-3000 | 2006-09-20 |
| 1710016332 | George Leon King | Chiropractor | 1100 S High St, Trenton, TN 38382-3008 | 2007-03-02 |
| 1346304045 | George Randy King | Clinic/Center | 425 Broadway St, Paducah, KY 42001-0713 | 2006-12-20 |
| 1386730943 | George C King | Family Medicine | 896 Highway 441 S, Clayton, GA 30525-5423 | 2006-10-04 |
| 1174562334 | George Penn King | Anesthesiology | 8901 N 76th St, Milwaukee, WI 53223-1901 | 2006-06-05 |
| 1669458816 | George L King | Internal Medicine | 1 Joslin Pl, Boston, MA 02215-5306 | 2005-12-20 |
| Street Address |
307 BUCKEYE RIDGE LOOP |
| City | DEVILLE |
| State | LA |
| Zip Code | 71328-8515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053975748 | Cenla Mental Health LLC | Nurse Practitioner | 307 Buckeye Ridge Loop, Deville, LA 71328-8515 | 2019-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881993723 | Cenla Speech Language Therapy LLC | Speech-Language Pathologist | 638 Booner Miller Rd., Deville, LA 71328 | 2011-03-17 |
| 1356652150 | Casey Knotts | Speech-Language Pathologist | 638 Booner Miller Road, Deville, LA 71328 | 2010-06-25 |
| 1447500780 | Carrie L Wiggins | Social Worker | 2495 Shreveport Hwy, Pineville, LA 71328 | 2012-09-13 |
| 1164032462 | Elizabeth Jean Mckenzie | Registered Nurse | 121 Shady Crest Ave, Deville, LA 71328-4000 | 2020-08-03 |
| 1467620070 | Christina Abbott Holton | Speech-Language Pathologist | 200 Herman Rush Rd, Deville, LA 71328-6400 | 2008-02-16 |
| 1558802025 | Jared Wiggins | Case Manager/Care Coordinator | 8091 Hickory Grove Loop, Deville, LA 71328-8236 | 2017-03-16 |
| 1750559571 | Everett Clifton Lofton | Registered Nurse | 7159 Hickory Grove Rd, Deville, LA 71328-8501 | 2008-02-14 |
| 1285755611 | Christus Health Central Louisiana | Clinic/Center | 715 Highway 1207, Deville, LA 71328-8505 | 2007-04-03 |
| 1801261656 | Chalayne Deville Beaubouef | Social Worker | 715 Highway 1207, Deville, LA 71328-8505 | 2015-12-04 |
| 1912205212 | Kimberly Belgard | Durable Medical Equipment & Medical Supplies | 504 Highway 1207, Deville, LA 71328-8533 | 2011-03-10 |
| Find all providers in zip 71328 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053975748 | Cenla Mental Health LLC | Nurse Practitioner | 307 Buckeye Ridge Loop, Deville, LA 71328-8515 | 2019-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113124 | Rebirth Mental Health Services LLC | Nurse Practitioner | 2116 Gause Blvd W Ste E, Slidell, LA 70460-4120 | 2020-08-03 |
| 1427668748 | Julie Susann Dyrek | Nurse Practitioner | 1 Lakeshore Dr Ste 1830, Lake Charles, LA 70629-0114 | 2020-08-01 |
| 1376169979 | Nancy Ariwodo | Nurse Practitioner | 225 Rue La France, Lafayette, LA 70508-1565 | 2020-06-19 |
| 1578183208 | Donald Glyn Gardner II | Nurse Practitioner | 324 Blue Fox Cir, Haughton, LA 71037-7707 | 2020-04-22 |
| 1629604129 | Raelyn Marie Plauche | Nurse Practitioner | 1951 Florida Ave Sw Ste D&e, Denham Springs, LA 70726-4947 | 2020-03-16 |
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1114558715 | Danielle J Threatts Aprn LLC | Nurse Practitioner | 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 | 2020-02-01 |
| 1992359848 | Harold G Frizzell Psychiatric Services LLC | Nurse Practitioner | 300 Thompson Loop, Lafayette, LA 70506-2820 | 2019-07-29 |
| 1598227779 | Candyce Brown | Nurse Practitioner | 333 Dr Michael Debakey Dr Ste 220, Lake Charles, LA 70601-5888 | 2019-04-04 |
| 1659835346 | Cassandra Thomas-jingles Psychiatric Nurse Practitioner, LLC. | Nurse Practitioner | 156 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2019-01-26 |
| Find all providers with the same taxonomy | ||||
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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.