TAMARA LEIGH KING (NPI# 1457653107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457653107 |
| Entity Type | Individual |
| Full Name | TAMARA LEIGH KING |
| Other Name | TAMARA LEIGH BROCK |
| Credential | CRNP |
| Practice Address |
4704 Whitesburg Dr Sw Suite 201 Huntsville AL 35802-1679 |
| Practice Telephone | 2562131800 |
| Practice Fax Number | 2564299186 |
| Mailing Telephone | 2562131800 |
| Mailing Fax Number | 2564299186 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2015-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-101199 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 164230 | 05 | |
| AL | 164252 | 05 | |
| AL | 164618 | 05 | |
| AL | MEDICARE | 102I500479 | 01 |
| AL | BCBS | 511-53711 | 01 |
| AL | BCBS | 511-53712 | 01 |
| AL | BCBS | 511-53710. | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033622287 | Tamara Renee King | Nurse Practitioner | 2300 W Charleston Blvd, Las Vegas, NV 89102-2149 | 2017-11-09 |
| 1073988598 | Tamara Lynn King | Registered Nurse | 1 Wyoming St, Berry Building, Ground Floor, Dayton, OH 45409-2722 | 2015-12-09 |
| 1730397399 | Tamara Lynn King | Counselor | 205 Lake Tower Dr, Hampton, VA 23666 | 2007-05-18 |
| Street Address |
4704 WHITESBURG DR SW SUITE 201 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35802-1679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730129016 | Paige C. Roy | Physical Medicine & Rehabilitation | 4704 Whitesburg Dr Sw, Suite #201, Huntsville, AL 35802-1679 | 2006-06-07 |
| 1295190379 | Mary Kathryn Werdehoff | Nurse Practitioner | 4704 Whitesburg Dr Sw, Huntsville, AL 35802-1679 | 2015-12-16 |
| 1144527326 | Alabama Emg LLC | Clinic/Center | 4704 Whitesburg Dr Sw, Suite 201, Huntsville, AL 35802-1679 | 2011-02-24 |
| 1831343375 | Sandra J Jones | Nurse Practitioner | 4704 Whitesburg Dr Sw, Suite 201, Huntsville, AL 35802-1679 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
| 1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
| 1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
| 1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| 1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
| 1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
| Find all providers in zip 35802 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1386251742 | Jennifer Lynn Castillo | Nurse Practitioner | 280 S 9500 E, Huntsville, UT 84317-9766 | 2020-09-29 |
| 1306452545 | Richard Keith Fell | Nurse Practitioner | 2785 Carl T Jones Dr Se Ste C, Huntsville, AL 35802-4947 | 2020-09-22 |
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1881211647 | Ciara Whitt | Nurse Practitioner | 26 Maple Grove Blvd Sw, Huntsville, AL 35824-4005 | 2020-06-28 |
| 1275158289 | Lynda Jean Masco | Nurse Practitioner | 807 Tannahill Dr Se, Huntsville, AL 35802-1935 | 2020-06-15 |
| 1265068076 | Sarah Jean | Nurse Practitioner | 1610 Ben Graves Drive Nw, Huntsville, AL 35816 | 2020-03-13 |
| 1497387229 | Mary Anne Tessitore | Nurse Practitioner | 193 Interstate 45 S, Huntsville, TX 77340-4256 | 2020-02-10 |
| 1790324424 | Ashley Froscello I | Nurse Practitioner | 610 Airport Rd Sw # 210, Huntsville, AL 35802-4304 | 2019-12-28 |
| 1811546237 | Jennifer Congdon | Nurse Practitioner | 264 Fm 3478, Huntsville, TX 77320 | 2019-09-09 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35802 |
Please comment or provide details below to improve the information on TAMARA LEIGH 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.