GLENDA MARIE KING (NPI# 1740664226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740664226 |
| Entity Type | Individual |
| Full Name | GLENDA MARIE KING |
| Credential | APRN |
| Practice Address |
128 Daniel Avenue Booneville AR 72927-6502 |
| Practice Telephone | 4796752455 |
| Mailing Telephone | 4796752455 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A004464 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A004464 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235615832 | Glenda King | Nurse Practitioner | 1455 E Ridge Rd, Rochester, NY 14621-2006 | 2018-07-17 |
| 1730266032 | Glenda L. King | Podiatrist | 2019 Galisteo St, Unit A4, Santa Fe, NM 87505-2143 | 2006-11-01 |
| Street Address |
128 DANIEL AVENUE |
| City | BOONEVILLE |
| State | AR |
| Zip Code | 72927-6502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427486794 | Mercy Hospital Booneville | Clinic/Center | 128 Daniel Avenue, Booneville, AR 72927 | 2013-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538675103 | Kimes Family Dentistry Pllc | Clinic/Center | 1090 E Main St, Booneville, AR 72927 | 2017-12-19 |
| 1730505876 | Booneville Chiropractic, Inc | Clinic/Center | 181 West 6th Street, Booneville, AR 72927 | 2014-03-13 |
| 1982968822 | Emily M Kimes | Dentist | 1090 East Main St, Booneville, AR 72927 | 2012-06-26 |
| 1801928627 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 87 Reed Rd, Highway 116 South, Booneville, AR 72927 | 2007-03-09 |
| 1932274362 | Big World Drug Enterprises Inc | Pharmacy | 1531 East Main Street, Booneville, AR 72927 | 2006-11-21 |
| 1801907142 | J Thad Shirey | Dentist | 1090 Hwy 10 East, Booneville, AR 72927 | 2006-08-31 |
| 1013941806 | Booneville Community Hospital | General Acute Care Hospital | 880 W. Main St., Booneville, AR 72927 | 2006-07-10 |
| 1023007770 | Oak Manor Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 150 Morton Avenue, Booneville, AR 72927 | 2005-10-17 |
| 1073518593 | Booneville Community Hospital, Inc. | Home Health | 880 W Main, Booneville, AR 72927 | 2005-06-21 |
| 1285150672 | Access Medical Clinic Arkansas LLC | Clinic/Center | 871 W Main St, Booneville, AR 72927 | 2017-08-17 |
| Find all providers in zip 72927 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114530904 | Tina Dulsena Turner | Nurse Practitioner | 90 Belcher Turner Rd, Booneville, KY 41314-9563 | 2020-08-31 |
| 1245738244 | Jason Lloyd Martin | Nurse Practitioner | 100 Hospital St Ste 100, Booneville, MS 38829-3354 | 2018-01-25 |
| 1710386503 | Jessica Neace | Nurse Practitioner | 826 Ky Hwy 11 N, Booneville, KY 41314 | 2014-08-18 |
| 1275943086 | Desiree Brooke Haugh | Nurse Practitioner | 103 Ridgemont Villa, Booneville, MS 38829-1010 | 2014-05-01 |
| 1487909792 | Suzy Elaine Shortt Tucker | Nurse Practitioner | 826 Ky Highway 11 North, Booneville, KY 41314-0730 | 2012-07-24 |
| 1770885121 | Lisa Michelle Sanford | Nurse Practitioner | 618 County Road 5031, Booneville, MS 38829-9410 | 2010-11-17 |
| 1164619144 | Lydia Jackson Lovell | Nurse Practitioner | 2301 E Chambers Dr, Booneville, MS 38829-8903 | 2007-10-03 |
| 1881783447 | Amy Suzanne Benjamin | Nurse Practitioner | 618 Cr 5031, Booneville, MS 38829 | 2006-10-12 |
| 1518959584 | Felesha Dale Perrigo | Nurse Practitioner | 101 Mimosa St, Booneville, MS 38829-2911 | 2005-08-16 |
| 1508401852 | Alana Jean Noel | Nurse Practitioner | 1069 S Sharpe Ave, Booneville, AR 72927-4683 | 2019-11-11 |
| Find all providers in BOONEVILLE | ||||
| City | BOONEVILLE |
| Zip Code | 72927 |
Please comment or provide details below to improve the information on GLENDA MARIE 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.