JONATHAN BRICE KING (NPI# 1174023352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174023352 |
| Entity Type | Individual |
| Full Name | JONATHAN BRICE KING |
| Credential | NP |
| Practice Address |
721 Clinic Dr # A Tyler TX 75701-2043 |
| Mailing Address |
Po Box 731912 Dallas TX 75373-1912 |
| Practice Telephone | 9035926152 |
| Practice Fax Number | 9035925288 |
| Mailing Telephone | 9038777635 |
| Mailing Fax Number | 9038777754 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP136612 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164920518 | Jonathan Steven King | Behavior Technician | 41769 Enterprise Cir N Ste 101, Temecula, CA 92590-5626 | 2018-01-30 |
| 1245770585 | Jonathan King | Acupuncturist | 2164 Ne Hostmark St, #24, Poulsbo, WA 98370-7503 | 2017-03-06 |
| 1083061998 | Jonathan King | Behavioral Analyst | 4434 Sherwood Rd, Philadelphia, PA 19131-1526 | 2016-05-20 |
| 1811938830 | Jonathan D King | Otolaryngology | 157 Corley Mill Rd, Ste 510, Lexington, SC 29072-7600 | 2006-06-09 |
| 1669421095 | Jonathan David King | Dentist | 2959 State St, Santa Barbara, CA 93105-3417 | 2006-05-10 |
| 1326034430 | Jonathan S King | Specialist | 850 W Ironwood Dr Ste 202, Coeur D Alene, ID 83814-4903 | 2005-09-23 |
| 1992313209 | Jonathan Bentley King | Social Worker | 624 E Main St, Lancaster, OH 43130-3903 | 2020-07-22 |
| 1881178556 | Jonathan Matthew King | Technician | 1904 Richland Ave, Ceres, CA 95307-4562 | 2018-09-19 |
| 1508218785 | Jonathan King | Registered Nurse | 151 Parkview Dr, Millersburg, OH 44654-8949 | 2016-07-12 |
| 1376957522 | Jonathan Caleb King | Emergency Medicine | 3441 Dickerson Pike, Nashville, TN 37207 | 2014-06-16 |
| Street Address |
721 CLINIC DR # A |
| City | TYLER |
| State | TX |
| Zip Code | 75701-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329728 | Rachel E Fouse | Nurse Practitioner | 323 S Fannin Ave, Tyler, TX 75702-7321 | 2020-02-29 |
| 1942845243 | Nicolette Jane Silverio | Nurse Practitioner | 6116 Wilshire Dr, Tyler, TX 75703-4160 | 2019-11-10 |
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1356996573 | Katy Sutton | Nurse Practitioner | 1901 Belmont Dr, Tyler, TX 75701-4338 | 2019-08-05 |
| 1063067577 | Elnora King | Nurse Practitioner | 1600 Rice Rd Apt 1117, Tyler, TX 75703-3308 | 2019-08-02 |
| 1851959472 | Tx Np Health, Pllc | Nurse Practitioner | 21755 Syrah Ln, Tyler, TX 75703-9274 | 2019-05-29 |
| 1114482569 | Carolyn Johnson | Nurse Practitioner | 13462 Hwy 110 N, Tyler, TX 75704-2444 | 2019-02-08 |
| 1720543556 | Kelsey Danielle Sheeley | Nurse Practitioner | 6770 Old Jacksonville Hwy Ste 103, Tyler, TX 75703-0576 | 2019-02-06 |
| 1790257392 | Tiffany Yvette Gardner | Nurse Practitioner | 301 Fm 757, Tyler, TX 75705-4503 | 2018-12-20 |
| 1912436684 | Carlyn Graff | Nurse Practitioner | 1420 Wsw Loop 323 Ste 100, Tyler, TX 75701-9347 | 2017-06-07 |
| Find all providers in TYLER | ||||
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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.