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BERENICE JIMENEZ KING DO
NPI 1114642055
Student in an Organized Health Care Education/Training Program in Fayetteville, AR

Active since October 04, 2022
3 E APPLEBY RD STE 302, FAYETTEVILLE, AR 72703(479) 404-1400(479) 404-1401 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2024, Oct 4, 2022 (2 updates tracked since 2022).

About Berenice Jimenez King Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERENICE JIMENEZ KING DO (NPI 1114642055) is an individual student in an organized health care education/training program in Fayetteville, Arkansas and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1114642055
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBERENICE JIMENEZ KINGCredential: DO
Location Address3 E APPLEBY RD STE 302Fayetteville, AR 72703-3160
Mailing Address3 E Appleby Road, Suite 302Fayetteville, AR 72703-3160 · (479) 404-1400 · Fax (479) 404-1401
Phone(479) 404-1400
Fax(479) 404-1401
Sole ProprietorNo
Enumeration DateOctober 4, 2022
Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
✔ NPI 1114642055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3 E APPLEBY RD STE 302, Fayetteville, AR 72703
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEXUS RANEY
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 404-1400
JONATHAN THOMAS DO
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 404-1400
ASELIN PUTHENPURAIL DO
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 404-1400
JILLIAN HACKNEY
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 404-1400
DR. CHARLES WILLIAM CONKIN MD
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 404-1400
VUTHA NHIM
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 463-1000
ANDREW MOORE
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 404-1401
ALLISON LONG
Student in an Organized Health Care Education/Training Program
3 E APPLEBY RD STE 302
FAYETTEVILLE, AR 72703
Washington County (479) 404-1400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Berenice Jimenez King's NPI number?

The NPI number for Berenice Jimenez King is 1114642055. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Where is Berenice Jimenez King located?

Berenice Jimenez King practices at 3 E Appleby Rd Ste 302, Fayetteville, AR 72703. The listed phone number is (479) 404-1400.

What is Berenice Jimenez King's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Berenice Jimenez King was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.