Healthcare Provider Details

I. General information

NPI: 1134199391
Provider Name (Legal Business Name): RITA K. KING FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RITA KAY SCHOWENGERDT NP

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 11/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 COMMUNITY CENTER DR SUITE 103
PIGEON FORGE TN
37863-6251
US

IV. Provider business mailing address

190 COMMUNITY CENTER DR SUITE 103
PIGEON FORGE TN
37863-6251
US

V. Phone/Fax

Practice location:
  • Phone: 865-446-4032
  • Fax: 865-868-4746
Mailing address:
  • Phone: 865-446-4032
  • Fax: 865-868-4746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP2709232
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000012584
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: