KRISTIN L KING (NPI# 1659844108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659844108 |
| Entity Type | Individual |
| Full Name | KRISTIN L KING |
| Practice Address |
151 N Main St Decatur IL 62523-1206 |
| Practice Telephone | 2173626262 |
| Practice Fax Number | 2173626290 |
| Mailing Telephone | 2173626262 |
| Mailing Fax Number | 2173626290 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043074466 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093120065 | Kristin King | Marriage & Family Therapist | 1395 9th Ave, Apt B, San Francisco, CA 94122-2308 | 2014-06-27 |
| 1538586938 | Kristin Renee King | Developmental Therapist | 14539 W Rathfarn Dr, Homer Glen, IL 60491-9405 | 2014-03-24 |
| 1194158949 | Kristin Lee King | Registered Nurse | 719 Smithson Ave, Erie, PA 16511-2073 | 2013-08-15 |
| 1780695486 | Kristin King | Speech-Language Pathologist | School of Allied Health Sciences/csdi, 600 Moye Blvd, Greenville, NC 27834 | 2006-08-10 |
| 1982255378 | Kristin Marie King | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2019-09-26 |
| 1699130393 | Kristin King | Registered Nurse | 1225 Langlade Rd, Antigo, WI 54409-2762 | 2015-12-22 |
| 1518346717 | Kristin Heather King | Family Medicine | 300 Hillmont Ave, Ventura, CA 93003 | 2015-05-21 |
| 1427436922 | Kristin Ann King | Behavioral Analyst | 13901 Amargosa Rd Ste 2, Victorville, CA 92392-2409 | 2015-05-15 |
| 1508264292 | Kristin Lynn King | Nurse Practitioner | 230 W Monroe St, Suite 2540, Chicago, IL 60606-4703 | 2014-12-11 |
| 1609279223 | Kristin Marie King | Physical Therapist | 96th Medical Group, 307 Boatner Road, Eglin Afb, FL 32542 | 2014-09-28 |
| Street Address |
151 N MAIN ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62523-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029361 | Heritage Behavioral Health Cent Opt | Clinic/Center | 151 N Main St, Decatur, IL 62523-1206 | 2020-09-30 |
| 1881217206 | William Jihan | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-20 |
| 1053934471 | Jasmine M Kaylor | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-20 |
| 1891318218 | Andrea L Mccoy | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-20 |
| 1366065989 | Lindsay M Orlowski | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-19 |
| 1578186185 | Whitley B Hofer | Counselor | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-19 |
| 1760003586 | Megan R Markwell | Registered Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-04 |
| 1316568132 | Erin Taylor | Registered Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-04 |
| 1902427982 | Latasha L Patton | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| 1710508692 | Tayler J Dance | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548763238 | Community Health Improvement Center | Clinic/Center | 1027 N Water, Decatur, IL 62523 | 2018-03-09 |
| 1093091597 | Leesa K Reed | Social Worker | 151 N. Main St., Heritage Behavioral Health, Decatur, IL 62523 | 2011-10-27 |
| 1407001357 | Pamela Sue Waterman | Counselor | 720 E. Wood St., Decatur, IL 62523 | 2008-11-19 |
| 1639231731 | Heritage Behavioral Health Center Inc. | Clinic/Center | 151 N Main Street, Decatur, IL 62523 | 2006-12-14 |
| 1669561080 | Diane S Pleasant | Counselor | 335 E Wood St Ste B, Decatur, IL 62523 | 2006-10-12 |
| 1376642470 | Gudrun Birgitta Armentrout | Marriage & Family Therapist | 247 West Prairie, Catholics Charities, Decatur, IL 62523 | 2006-09-22 |
| 1871117887 | Restore Wellness Counseling LLC | Social Worker | 106 North Main Street, Decatur, IL 62523 | 2020-06-04 |
| 1275004186 | Stephanie Maurer | Physician Assistant | 320 Central Ave, Decatur, IL 62523 | 2018-12-17 |
| 1669673620 | Decatur Public School Dist. #61 | Local Education Agency (LEA) | 101 W Cerro Gordo St, Decatur, IL 62523-1001 | 2007-05-29 |
| 1295246320 | Barbara A Nadler | Speech-Language Pathologist | 101 W Cerro Gordo St, Decatur, IL 62523-1001 | 2017-10-16 |
| Find all providers in zip 62523 | ||||
| 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 |
|---|---|---|---|---|
| 1700495975 | Shalunda Harrison | Licensed Practical Nurse | 4311 Christine Ct, Decatur, GA 30035-1702 | 2020-07-23 |
| 1730616392 | Kalena Yolanda Smith | Licensed Practical Nurse | 12219 Highway 503, Decatur, MS 39327-8915 | 2017-05-15 |
| 1871038729 | Kelli Sha'ron Johnson | Licensed Practical Nurse | 3014 Boring Ridge Dr, Decatur, GA 30034-4427 | 2017-01-02 |
| 1205207230 | Nekeisha Johnson | Licensed Practical Nurse | 4318 Sherwood Oaks Dr, Decatur, GA 30034-5475 | 2015-10-16 |
| 1124450010 | Kurteice C James | Licensed Practical Nurse | 2024 Fowler Rd, Decatur, GA 30035-2130 | 2013-08-02 |
| 1619216645 | Rose Andrea Hills | Licensed Practical Nurse | 3657 Dogwood Farm Rd, Decatur, GA 30034-6403 | 2013-02-12 |
| 1699382895 | Pamela Mckelvey | Licensed Practical Nurse | 4110 Us Highway 31 S, Decatur, AL 35603-1644 | 2020-09-30 |
| 1902427982 | Latasha L Patton | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| 1710508692 | Tayler J Dance | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| 1992326979 | Stephanie P Conlin | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523-1206 | 2020-05-01 |
| Find all providers in DECATUR | ||||
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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.