Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carson King, APRNCNP

Individual provider Nurse Practitioner · NPI 1083009765

Carson King, APRNCNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2015, 11 years ago. Practices with Livingston Healthcare, a 61-clinician group and accepts Medicare assignment. Licensed in Ohio and Tennessee.

Years since qualifying
11
Licensed in
OH, TN
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

2050 Kenny Rd
Columbus, OH 43221-3502
Phone: (614) 293-4925
Fax: (614) 293-5503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.025714 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 19848 (TN)

Record details

NPI number1083009765
Entity typeIndividual (Type 1)
GenderMale
Credentials APRNCNP
Sole proprietorNo
NPI enumeratedMarch 31, 2015
Last updated in NPPESFebruary 25, 2020
Certification dateFebruary 25, 2020
Mailing address700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Livingston Healthcare — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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