DR. JENNIFER L KING (NPI# 1972501716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972501716 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER L KING |
| Credential | M.D. |
| Practice Address |
800 N Alpha St Grand Island NE 68803-4320 |
| Practice Telephone | 3083822010 |
| Practice Fax Number | 3083829549 |
| Mailing Telephone | 3083822010 |
| Mailing Fax Number | 3083829549 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2014-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 21859 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47059252300 | 05 | |
| NE | BCBS NUMBER | 35830 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780294793 | Jennifer Lake King | Nurse Practitioner | 1016 S Joshua Ave, Parker, AZ 85344-5057 | 2020-08-04 |
| 1679114623 | Jennifer King | Technician | 2332 Sw 42nd St, Oklahoma City, OK 73119-3522 | 2019-10-01 |
| 1629632161 | Jennifer Lee King | Peer Specialist | 9432 Nw 88th St, Yukon, OK 73099-9290 | 2019-04-30 |
| 1588121305 | Jennifer Ervine King | Nurse Practitioner | 1920 Ebenezer Rd, Rock Hill, SC 29732-1014 | 2019-02-28 |
| 1538633052 | Jennifer Rose King | Licensed Practical Nurse | 162 3rd St, Rochester, NY 14605-2445 | 2019-01-17 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1902273410 | Jennifer B King | Counselor | 3581 Ga Highway 300, Oakfield, GA 31772-1826 | 2015-09-01 |
| 1265817498 | Jennifer King | Occupational Therapy Assistant | 1210 W Colorado St, Walters, OK 73572-1018 | 2015-07-29 |
| 1548642937 | Jennifer Bohnert King | Occupational Therapist | 225 Abraham Flexner Way Ste 650, Louisville, KY 40202-1888 | 2015-06-23 |
| 1669892543 | Jennifer Jane King | Licensed Practical Nurse | 4779 Highridge Ave, Cincinnati, OH 45238-4528 | 2014-04-18 |
| Street Address |
800 N ALPHA ST |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803-4320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201285 | Karl Vollers | Nurse Practitioner | 800 N Alpha St, Grand Island, NE 68803-4320 | 2020-06-30 |
| 1114574696 | Jose Bajo | Nurse Practitioner | 800 N Alpha St, Grand Island, NE 68803-4320 | 2019-08-20 |
| 1730648569 | John Linder | Nurse Practitioner | 800 N Alpha St, Grand Island, NE 68803-4320 | 2019-03-19 |
| 1528587813 | Prairie Foot & Ankle PC | Podiatrist | 800 N Alpha St, Grand Island, NE 68803-4320 | 2017-09-18 |
| 1114367547 | Swathi Lavudi | Internal Medicine | 800 N Alpha St, Grand Island, NE 68803-4320 | 2013-06-29 |
| 1528350485 | Corey S. Blackburn | Podiatrist | 800 N Alpha St, Grand Island, NE 68803-4320 | 2011-05-11 |
| 1770874570 | Amy Elizabeth Theesen | Nurse Practitioner | 800 N Alpha St, Grand Island, NE 68803-4320 | 2011-04-27 |
| 1538493507 | Purva Girish Gumaste | Internal Medicine | 800 N Alpha St, Grand Island, NE 68803-4320 | 2009-09-23 |
| 1760421283 | Jane A Mcdonald | Internal Medicine | 800 N Alpha St, Grand Island, NE 68803-4320 | 2006-06-06 |
| 1790724201 | Ryan D Crouch | Internal Medicine | 800 N Alpha St, Grand Island, NE 68803-4320 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| Find all providers in zip 68803 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831270404 | Erich Richard Fruehling | Internal Medicine | 3515 Richmond Cir, Grand Island, NE 68803-4965 | 2006-10-18 |
| 1003826330 | Thomas Edward Price | Internal Medicine | 160 Forest Creek Ln, Grand Island, NY 14072-3502 | 2006-08-09 |
| 1821082603 | Moncarm A Fouche | Internal Medicine | 2201 N Broadwell Ave, Grand Island, NE 68803-2153 | 2005-09-07 |
| 1144228966 | Jeffrey K. King | Internal Medicine | 3515 Richmond Circle, Grand Island, NE 68803-4965 | 2005-07-14 |
| 1679571673 | Anne K Morse | Internal Medicine | 729 N Custer Ave, Grand Island, NE 68803-4311 | 2005-07-13 |
| 1477009686 | Zeeshan Khalid | Internal Medicine | 2620 W Faidley Ave, Grand Island, NE 68803 | 2016-08-28 |
| 1902251010 | Shoaib Junejo | Internal Medicine | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2016-04-26 |
| 1619357191 | Mathew Boyd Day | Internal Medicine | 729 N Custer Ave, Grand Island, NE 68803-4311 | 2015-06-01 |
| 1265847396 | Madhavi Reddy Cherukula | Internal Medicine | 2116 W Faidley Ave, Grand Island, NE 68803-4678 | 2014-06-26 |
| 1730593823 | Suresh Manapuram | Internal Medicine | 2620 W Faidley Ave, Dept of Hospital Medicine, Grand Island, NE 68803 | 2014-06-17 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
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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.