KELLI A L KING (NPI# 1841357076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841357076 |
| Entity Type | Individual |
| Full Name | KELLI A L KING |
| Other Name | KELLI A KING |
| Credential | APRN |
| Practice Address |
1021 S Cottonwood St North Platte NE 69101-6138 |
| Practice Telephone | 3085344438 |
| Practice Fax Number | 3085344190 |
| Mailing Telephone | 3085344438 |
| Mailing Fax Number | 3085344190 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
110673 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100264810-00 | 05 | |
| BCBS PROVIDER# | 38966 | 01 | |
| NE | MEDICARE RR FOR BUSINESS | DV8242 | 01 |
| NE | MEDICARE RR FOR KELLI | P01500120 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205305216 | Kelli Kristin King | Nurse Practitioner | 19 Bermuda Pointe Cir, Hilton Head, SC 29926-1254 | 2018-11-19 |
| 1306959473 | Kelli P King | Physical Therapist | 2875 Pace Rd, Hendersonville, NC 28792-9039 | 2006-08-15 |
| 1285068270 | Kelli Deanne King | Nurse Practitioner | 255 Baptist Blvd, Ste 401, Columbus, MS 39705-2011 | 2013-08-26 |
| 1235473232 | Kelli Nicole King | Nurse Practitioner | 1221 Floral Pkwy, Unit 105, Wilmington, NC 28403-6238 | 2012-11-15 |
| 1790074656 | Kelli King | Occupational Therapist | 4423 Shadowdale Dr, Houston, TX 77041-8718 | 2011-03-31 |
| 1497978555 | Kelli Lee King | Counselor | 5512 S Lewis Ave, Tulsa, OK 74105 | 2007-04-10 |
| 1740321454 | Kelli Ann King | Marriage & Family Therapist | 2937 Veneman Ave, # A117, Modesto, CA 95356-0638 | 2007-02-08 |
| Street Address |
1021 S COTTONWOOD ST |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101-6138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467938985 | Sheena See | Nurse Practitioner | 1021 S Cottonwood St, North Platte, NE 69101 | 2018-07-18 |
| 1992182620 | Precise Family Care, PC | Nurse Practitioner | 1021 S Cottonwood St, North Platte, NE 69101-6138 | 2015-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
| Find all providers in zip 69101 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952957102 | Cecelia Rae Opela-sierks | Nurse Practitioner | 601 W Leota St, North Platte, NE 69101-6525 | 2019-08-14 |
| 1871597773 | Misty Richards | Nurse Practitioner | 302 S Jeffers St, North Platte, NE 69101-5349 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962015594 | Whitney A West | Nurse Practitioner | 900 Foxcroft Ct Apt 121, Lincoln, NE 68510-4177 | 2020-08-24 |
| 1962048314 | Rabia Moukrad | Nurse Practitioner | 4951 Center St Ste 200, Omaha, NE 68106-3252 | 2019-11-20 |
| 1790327195 | Joseph A Anthone | Nurse Practitioner | 12728 Augusta Ave Fl 2, Omaha, NE 68144-3702 | 2019-10-17 |
| 1992353965 | Lisa Marie Bruha | Nurse Practitioner | 46725 809th Rd, Ord, NE 68862-5330 | 2019-09-03 |
| 1508352808 | Kristin Marie Butterfield | Nurse Practitioner | 7655 Archer Place, Lincoln, NE 68516 | 2018-07-10 |
| 1063932028 | Laura Beth Boon | Nurse Practitioner | 989500 Nebraska Medical Ctr Fl Center5, Omaha, NE 68198-9500 | 2017-06-21 |
| 1578010955 | Jyllyan Christine Halldorson | Nurse Practitioner | 3814 S 186th Ave, Omaha, NE 68130-6029 | 2016-09-02 |
| 1528449741 | Kimberly Waters | Nurse Practitioner | 3733 Holmes Park Rd, Lincoln, NE 68506-4645 | 2015-06-12 |
| 1053700245 | Nadia Ann Mccann | Nurse Practitioner | 2820 E Us Highway 34, Grand Island, NE 68801-9734 | 2015-01-12 |
| 1053349142 | Kathleen Ann Popelka | Nurse Practitioner | Vamc (11ac), 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2006-06-29 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PLATTE |
| Zip Code | 69101 |
Please comment or provide details below to improve the information on KELLI A L 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.