1. Home
  2. Directory
  3. Oregon
  4. Grants Pass
  5. Nurse Practitioner
  6. NPI Profile

JUDITH A KING MN FNP PC
NPI 1154621613
Nurse Practitioner - Family in Grants Pass, OR

Active since October 29, 2010
124 NW MIDLAND AVE, GRANTS PASS, OR 97526(541) 474-5665(541) 474-4435 Get Directions Write a Review

NPPES record last updated: December 14, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Judith A King Mn Fnp Pc NPPES

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

JUDITH A KING MN FNP PC (NPI 1154621613) is a healthcare organization registered as a family in Grants Pass, Oregon and active in the NPI registry since October 2010. The organization lists Judith A King, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1154621613
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJUDITH A KING MN FNP PC
Location Address124 NW MIDLAND AVEGrants Pass, OR 97526-1269
Mailing Address124 Nw Midland Ave Ste 107Grants Pass, OR 97526-1269 · (541) 474-5665 · Fax (541) 474-4435
Phone(541) 474-5665
Fax(541) 474-4435
Organization SubpartNo
Authorized OfficialJudith A KingOwner/provider · (541) 474-5665
Enumeration DateOctober 29, 2010
Last NPPES UpdateDecember 14, 2010
✔ NPI 1154621613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 000037306N1
124 NW MIDLAND AVE, Grants Pass, OR 97526
Open in Google Maps ↗

Other Identifiers 5

OtherR108613Medicare
Medicaid074450OR
Other900109622OR · Medicare Rr
Other108613OR · Medicare Id-type Unspecified
Medicare UPINS02931OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MRS. CAROL THOMAS CFNP
Nurse Practitioner (Family)
124 NW MIDLAND AVE, STE J
GRANTS PASS, OR 97526
Josephine County (541) 476-8859
MS. JERI PAIRISH-LACK CFNP
Nurse Practitioner (Family)
124 NW MIDLAND AVE, STE J
GRANTS PASS, OR 97526
Josephine County (541) 476-8859
DR. MARK ALLEN RONDEAU M.D.
Family Medicine
124 NW MIDLAND AVE
GRANTS PASS, OR 97526
Josephine County (541) 476-8859
J1 MEDICAL CLINIC
Clinic/Center (Primary Care)
124 NW MIDLAND AVE, SUITE 110
GRANTS PASS, OR 97526
Josephine County (541) 471-0120
ALLCARE MEDICAL GROUP LLC
Family Medicine
124 NW MIDLAND AVE
GRANTS PASS, OR 97526
Josephine County (541) 476-8859
CHUTUOC C. TRANDINH, M.D., L.L.C.
Specialist
124 NW MIDLAND AVE, SUITE 109
GRANTS PASS, OR 97526
Josephine County (541) 479-7791
DANIEL L MOLINE, MD, PC
Family Medicine
124 NW MIDLAND AVE, SUITE 108
GRANTS PASS, OR 97526
Josephine County (541) 474-5665
MARK ALLEN RONDEAU
Family Medicine
124 NW MIDLAND AVE, STE J
GRANTS PASS, OR 97526
Josephine County (541) 476-8859

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 Judith A King Mn Fnp PC's NPI number?

The NPI number for Judith A King Mn Fnp PC is 1154621613. It was assigned to this organization in the NPPES registry on October 29, 2010.

Where is Judith A King Mn Fnp PC located?

Judith A King Mn Fnp PC is located at 124 NW Midland Ave, Grants Pass, OR 97526. The listed phone number is (541) 474-5665.

What is Judith A King Mn Fnp PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Judith A King Mn Fnp PC was last updated on December 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.