Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174485874 Individual Practitioner Female Practitioner

Revonna Shantay King

Licensed Practical Nurse • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Revonna King is a registered healthcare professional specializing in Licensed Practical Nurse in Seattle, WA. Practice services are available at 2212 S JACKSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2212 S Jackson St

Seattle, WA 981442591

Telephone 2063222387
Associated Practice Facility / Clinic
🏢 Matrx Pharmacy, Llc Facility NPI 1578284691

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
138 Specialists

Practicing in Seattle, WA (1730 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

CMS Verified: 2025-12-01
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP00036735

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Tess Brewer

Counselor

NPI 1003699497
NPI 1013527530
NPI 1013895614
Laura Etling

Counselor - Mental Health

NPI 1023588944
NPI 1043178718
Andrew Powers

Counselor

NPI 1053087460

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2025

Registered at 2212 S JACKSON ST, SEATTLE, WA 981442591 (Tel: 2063222387)

📍
Updated Business Mailing Address December 01, 2025

Registered at 2212 S JACKSON ST, SEATTLE, WA 981442591 (Tel: 2063222387)

👤
Provider Name / Credentials Updated December 01, 2025

Recorded as REVONNA KING

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2025

Licensed Practical Nurse (License #LP00036735 in WA)

🟢
Initial NPI Registration & Enumeration December 01, 2025

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: 1174485874
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2025
Last Update: December 01, 2025
Sole Proprietor: Yes

Mailing Address

2212 S Jackson St

Seattle, WA 981442591

Phone: 2063222387

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.