| Ms Andrea Denise King, FNP-C | |
|
2702 Triana Blvd Sw, Huntsville, AL 35805-4074 | |
| (256) 885-9708 | |
| (256) 883-1840 |
| Full Name | Ms Andrea Denise King |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2702 Triana Blvd Sw, Huntsville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699189571 | NPI | - | NPPES |
| 07779543 | Medicaid | MS | |
| P01605303 | Other | MS | RAILROAD MEDICARE |
| 463580YKHV | Other | MS | MEDICARE ST DOM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R879974 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-190924 (Alabama) | Primary |
| Entity Name | St. Dominic Jackson Memorial |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235173691 PECOS PAC ID: 4385531847 Enrollment ID: O20040301000818 |
| Entity Name | St. Dominic Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Andrea Denise King, FNP-C 2702 Triana Blvd Sw, Huntsville, AL 35805-4074 Ph: (256) 885-9708 | Ms Andrea Denise King, FNP-C 2702 Triana Blvd Sw, Huntsville, AL 35805-4074 Ph: (256) 885-9708 |
Ms. Lisa Gay Rhodes, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 202 Wynn Drive, Rfcu Clinic, Huntsville, AL 35893 Phone: 256-722-4803 Fax: 256-722-4804 | |
Hailey Farmer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4030 Pepperwood Cir Sw, Huntsville, AL 35801 Phone: 256-539-6536 Fax: 256-536-1504 | |
Elena Mihaela Kruse, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 Phone: 256-489-0757 | |
Mrs. Gina Marie Delgado, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 Phone: 256-265-8641 Fax: 256-265-6722 | |
Michael Larkins, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Sivley Rd Sw Ste 500, Huntsville, AL 35801 Phone: 256-265-3880 | |
Meghan J Dunning, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-265-1000 | |
Kayla Hebert, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4011 Meridian St., Huntsville, AL 35811 Phone: 256-372-5601 Fax: 256-934-2635 |