KORETTA A KING (NPI# 1194325746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194325746 |
| Entity Type | Individual |
| Full Name | KORETTA A KING |
| Other Name | KORETTA KING |
| Practice Address |
152 Queensberry Ct Greensboro NC 27405-4899 |
| Practice Telephone | 3362543867 |
| Mailing Telephone | 3362543867 |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2020-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 90647 | NC | Nursing Service Providers |
| Street Address |
152 QUEENSBERRY CT |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-4899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870215 | Melissa Jordan | Licensed Practical Nurse | 5106 Olde Forest Dr, Greensboro, NC 27406-8718 | 2020-08-06 |
| 1265066815 | Shaneka M Hurdle | Licensed Practical Nurse | 1011 Huffine Mill Rd, Greensboro, NC 27405-6239 | 2020-02-22 |
| 1528624418 | Jamie Hough | Licensed Practical Nurse | 1505 Bridford Pkwy Apt 9e, Greensboro, NC 27407-2679 | 2019-05-15 |
| 1114489754 | Latosha R Lea | Licensed Practical Nurse | 1508 Avalon Rd, Greensboro, NC 27401-4028 | 2019-04-02 |
| 1740777911 | Angel Pupo | Licensed Practical Nurse | 2706 N Church St, Greensboro, NC 27405-3657 | 2018-04-13 |
| 1578050738 | Shamekia Wilkes | Licensed Practical Nurse | 2706 N Church St, Greensboro, NC 27405-3657 | 2018-04-13 |
| 1699262865 | Chasity Smith | Licensed Practical Nurse | 2706 N Church St, Greensboro, NC 27405-3657 | 2018-04-13 |
| 1124515390 | Heather Bosworth | Licensed Practical Nurse | 2706 N Church St, Greensboro, NC 27405-3657 | 2018-04-13 |
| 1326535501 | Julie Greer | Licensed Practical Nurse | 2706 N Church St, Greensboro, NC 27405-3657 | 2018-04-13 |
| 1538656707 | Donna Mashburn | Licensed Practical Nurse | 2706 N Church St, Greensboro, NC 27405-3657 | 2018-04-13 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on KORETTA A 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.