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Deactivated NPI 1316175250 Deactivated / Inactive NPI Female Practitioner

Kathleen King , NP

Nurse Practitioner - Pediatrics • Lansing, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kathleen King has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 30, 2009
NPI Deactivation Date December 04, 2020
Total Practice Duration ~11 Years of Practice (2009 – 2020)

Professional Overview & Biography Verified Profile Summary

Kathleen King, NP was a registered Nurse Practitioner - Pediatrics practicing in Lansing, MI. Throughout an active medical career spanning 11 years, Kathleen King provided care at the practice location at 1200 E MICHIGAN AVE until profile deactivation on 2020-12-04.

Practice Location & Contact Primary Location

Practice Address

1200 E Michigan Ave
Suite 145

Lansing, MI 489121800

Telephone 5173645440
Fax 5173645413
Associated Practice Facility / Clinic
🏢 Michigan State University Facility NPI 1205880333

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 8.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Lansing, MI (538 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MI 4704093861

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Dr. David Cervi , DO, PhD

Pediatrics - Pediatric Hematology-Oncology

NPI 1013256825

Doctor of Osteopathic Medicine (D.O.), Doctor of Philosophy (Ph.D.)

NPI 1033111653

Doctor of Osteopathic Medicine (D.O.)

Dr. Renuka Gera , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1033127626

Doctor of Medicine (M.D.)

NPI 1093895344

Doctor of Philosophy (Ph.D.)

NPI 1104915784

Doctor of Medicine (M.D.)

NPI 1134101074

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 04, 2020

Record deactivated on December 04, 2020

NPI Profile Active June 30, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 30, 2009

Registered at 1200 E MICHIGAN AVE, SUITE 145, LANSING, MI 489121800 (Tel: 5173645440)

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Updated Business Mailing Address June 30, 2009

Registered at 1200 E MICHIGAN AVE, SUITE 145, LANSING, MI 489121800 (Tel: 5173645440)

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Provider Name / Credentials Updated June 30, 2009

Recorded as KATHLEEN KING, N.P.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2009

Nurse Practitioner (License #4704093861 in MI)

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Initial NPI Registration & Enumeration June 30, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316175250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2009
Last Update: June 30, 2009
Deactivation Date: December 04, 2020

Mailing Address

1200 E Michigan Ave, Suite 145

Lansing, MI 489121800

Phone: 5173645440

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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