Individual
SHELLY J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DR, SUITE 4230, INDIANAPOLIS, IN 46202-5109
(317) 944-7411
(317) 944-7481
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001248A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71001248A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000593125
ANTHEM PIN
IN
05
—
200366990
—
IN
Enumeration date
09/21/2005
Last updated
02/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us