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REVONNA SHANTAY KING
NPI 1174485874
Licensed Practical Nurse in Seattle, WA

Active since December 01, 2025
2212 S JACKSON ST, SEATTLE, WA 98144(206) 322-2387 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revonna Shantay King NPPES

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

REVONNA SHANTAY KING (NPI 1174485874) is an individual licensed practical nurse in Seattle, Washington, licensed in Washington (LP00036735) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1174485874
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameREVONNA SHANTAY KING
Location Address2212 S JACKSON STSeattle, WA 98144-2591
Mailing Address2212 S Jackson StSeattle, WA 98144-2591 · (206) 322-2387
Phone(206) 322-2387
Sole ProprietorYes
Enumeration DateDecember 1, 2025
NPPES CertifiedDecember 1, 2025
✔ NPI 1174485874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WA · LP00036735
Definition
A licensed practical nurse 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.
2212 S JACKSON ST, Seattle, WA 98144
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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.

KAITLYN PAIGE MACH
Counselor
2212 S JACKSON ST
SEATTLE, WA 98144
King County (206) 322-2827
TAREK GLYNDWR SANDARUSI
Counselor
2212 S JACKSON ST
SEATTLE, WA 98144
King County (206) 322-2387
TAYLOR MATTHEW WILLIAMS
Counselor
2212 S JACKSON ST
SEATTLE, WA 98144
King County (206) 322-2387
MIRIAM MIYAKE MHP, CAAL
Counselor
2212 S JACKSON ST
SEATTLE, WA 98144
King County (206) 550-9564
LESLIE SOELBERG
Registered Nurse
2212 S JACKSON ST
SEATTLE, WA 98144
King County (206) 329-6485
BRENNA MARIN MARLAHAN
Counselor
2212 S JACKSON ST
SEATTLE, WA 98144
King County (206) 322-2387
ANDREW POWERS
Counselor
2212 S JACKSON ST
SEATTLE, WA 98144
King County (206) 322-2387
LAUREN DANIELLE SPRIGG MSW
Counselor
2212 S JACKSON ST
SEATTLE, WA 98144
King County (206) 322-2378

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 Revonna King's NPI number?

The NPI number for Revonna King is 1174485874. It was assigned to this individual provider in the NPPES registry on December 1, 2025.

Where is Revonna King located?

Revonna King practices at 2212 S Jackson St, Seattle, WA 98144. The listed phone number is (206) 322-2387.

What is Revonna King's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Revonna King was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.