JENNIFER KING (NPI# 1235214586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235214586 |
| Entity Type | Individual |
| Full Name | JENNIFER KING |
| Credential | MD |
| Practice Address |
1072 N Liberty Street Suite 203 Boise ID 83704 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083025800 |
| Practice Fax Number | 2083025855 |
| Mailing Telephone | 2083025800 |
| Mailing Fax Number | 2083025855 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
M-12230 | ID | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
40564 | CO | Allopathic & Osteopathic Physicians |
| 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 |
1072 N LIBERTY STREET SUITE 203 |
| City | BOISE |
| State | ID |
| Zip Code | 83704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386612414 | Johnny Bert Green | Surgery | 1072 N Liberty Street, Suite 201, Boise, ID 83704 | 2006-03-14 |
| 1760903363 | Sheev Indravadan Dattani | Surgery | 1072 N Liberty Street, Ste 201, Boise, ID 83704 | 2017-07-05 |
| 1003288648 | Brittany Peeler | Physician Assistant | 1072 N Liberty Street, Ste 303, Boise, ID 83704 | 2015-10-22 |
| 1861861841 | Tess Weidner | Midwife | 1072 N Liberty Street, Ste 100, Boise, ID 83704 | 2015-09-19 |
| 1023404811 | Annis Wakelee Vargas | Pediatrics | 1072 N Liberty Street, Ste 203, Boise, ID 83701 | 2015-04-08 |
| 1194127472 | Anna Hoskins | Physician Assistant | 1072 N Liberty Street, Ste 201, Boise, ID 83704-8708 | 2014-09-18 |
| 1770857021 | Wendi Holmes | Registered Nurse | 1072 N Liberty Street, Ste 100, Boise, ID 83704 | 2012-03-05 |
| 1316258510 | Bradley Grant Bishop | Pediatrics | 1072 N Liberty Street, Ste 203, Boise, ID 83704 | 2010-06-23 |
| 1265651566 | Ondrej Choutka | Neurological Surgery | 1072 N Liberty Street, Ste 303, Boise, ID 83704 | 2007-04-25 |
| 1750430617 | Adrian J Curnow | Surgery | 1072 N Liberty Street, Ste 201, Boise, ID 83704-8708 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
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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.