KASSIE KING (NPI# 1861842494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861842494 |
| Entity Type | Individual |
| Full Name | KASSIE KING |
| Credential | ARNP |
| Practice Address |
296 Bayshore Dr Niceville FL 32578-2423 |
| Practice Telephone | 8502796778 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
ARNP9311462 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
296 BAYSHORE DR |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992088942 | Shay D Griffin | Registered Nurse | 296 Bayshore Dr, Niceville, FL 32578-2423 | 2011-09-26 |
| 1730584756 | Christina L Schaefer | Lactation Consultant, Non-RN | 296 Bayshore Dr, Niceville, FL 32578-2423 | 2014-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774807 | Kiz Tosi | Nurse Practitioner | 419 Peoria Blvd, Crestview, FL 32536-2248 | 2019-01-14 |
| 1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
| 1235648296 | Lindsay Danielle Leider | Nurse Practitioner | 1625 Se 3rd Ave Ste 502, Fort Lauderdale, FL 33316-2521 | 2017-09-21 |
| 1720516974 | Polina Goldenberg | Nurse Practitioner | 1001 Nw 13th St Ste 101a, Boca Raton, FL 33486-2269 | 2017-06-01 |
| 1780044750 | Cherie Gordon | Nurse Practitioner | 2818 W Virginia Avenue, Tampa, FL 33607 | 2016-03-03 |
| 1487032967 | Doris Washington Tucker | Nurse Practitioner | 15013 Sw 110th Ter, Miami, FL 33196-2599 | 2015-05-15 |
| 1962895326 | University of Florida Jacksonville Physicians Inc | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4600, Ufjp - Uf Health Birth Center, Jacksonville, FL 32218-7213 | 2015-03-10 |
| 1538587332 | Midwife360, LLC | Nurse Practitioner | 332 W Boynton Beach Blvd # 3, Boynton Beach, FL 33435 | 2014-03-31 |
| 1811324965 | Dalia Philbeck | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 | 2013-10-03 |
| 1407122088 | Gloria Scheiner | Nurse Practitioner | 339 Mcintosh Ave, Orange Park, FL 32073-4831 | 2012-03-28 |
| Find all providers with the same taxonomy | ||||
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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.