Individual Healthcare Provider
Jessica Renee King, MD
Provider's NPPES record last updated: April 29, 2020
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1649434200
- Primary Specialty
- Family Medicine
- Practice Location
- Mountain Grove, Missouri
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 9:53 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X
Provider-Reported License Information
- Family Medicine (Missouri)
- 2009020461
- Family Medicine (Missouri)
- 2008017836
Practice Locations
Practice Location
1905 W 19th St
Mountain Grove, Missouri 65711-1287
Phone: (417) 926-1770
Additional Practice Location
1337 S Sam Houston Blvd
Houston, Missouri 65483-2046
Phone: (417) 967-5435
Fax: (417) 967-5503
Additional Practice Location
3525 S National Ave Ste 207
Springfield, Missouri 65807-7315
Phone: (417) 269-9220
Fax: (417) 269-9229
Record Information
- Enumeration Date
- July 14, 2008
- Provider's NPPES Record Last Updated
- April 29, 2020
- Certification Date
- April 29, 2020
- NPISignal NPPES Dataset
- August 2026
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