Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Lily Michelle King , LPN

Licensed Practical Nurse β€’ Palm Coast, FL

Active NPI 1801388137 Individual Practitioner Female Practitioner
Practice location in NPPES

21 Bennett Ln
Palm Coast, FL 321378610

Call 3863151260 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

21 Bennett Ln

Palm Coast, FL 321378610

Telephone 3863151260
Organization at the Same NPPES Address or Phone
Extended Family Of North Florida, Llc Facility NPI 1487135620

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Palm Coast and Florida

7 active clinicians are listed under Licensed Practical Nurse with a practice address in Palm Coast, FL (1,922 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-29
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES FL 5212850

An individual 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.

Home Health

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Clinic/Center - Developmental Disabilities

NUCC Taxonomy Code: 261QD1600X

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Adult Companion

NUCC Taxonomy Code: 372600000X

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Homemaker

NUCC Taxonomy Code: 376J00000X

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Respite Care

NUCC Taxonomy Code: 385H00000X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location July 29, 2024

Registered at 21 BENNETT LN, PALM COAST, FL 321378610 (Tel: 3863151260)

πŸ“
Updated Business Mailing Address July 29, 2024

Registered at PO BOX 350373, PALM COAST, FL 321350373 (Tel: 3863151260)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2024

Home Health

πŸ“
Updated Business Mailing Address August 26, 2018

Registered at PO BOX 350729, PALM COAST, FL 321350729 (Tel: 3863151260)

πŸ“
Updated Practice Location July 21, 2018

Registered at 8 REGENT LN, PALM COAST, FL 32164 (Tel: 3863151260)

βœ…
NPI Profile Active June 01, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 01, 2018

Registered at 8 REGENT LN, PALM COAST, FL 321646638 (Tel: 3863151260)

πŸ“
Business Mailing Address (Initial Record) June 01, 2018

Registered at 8 REGENT LN, PALM COAST, FL 321646638 (Tel: 3863151260)

πŸ‘€
Provider Name / Credentials (Initial Record) June 01, 2018

Recorded as LILY KING, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2018

Licensed Practical Nurse (license number reported to NPPES: FL 5212850)

🟒
Initial NPI Registration & Enumeration June 01, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1801388137
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2018
Last Update: July 29, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 350373

Palm Coast, FL 321350373

Phone: 3863151260

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.