RAVEN KING – Family Nurse Practitioner, NPI 1134933054

Family Nurse Practitioner

RAVEN KING is a healthcare provider. based in Park forest, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 325541 (AZ). The NPI Number for RAVEN KING is 1134933054

Main info

Female

Sole Proprietor

1 Year Of Experience

Accepts Medicare Assignment

Name

RAVEN KING

NPI

1134933054

Phone

Not provided

Address

402 TAMARACK ST

Enumeration Date

3 February 2025

Last Update Date

4 February 2026

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8887058722

Graduation Year

2025 (1 year ago)

PAC ID

2365926128

Group Practice PAC ID

0143547117

Professional Enrollment ID

I20260319001291

Address ID

IL606283127CH10935STXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience26

Completeness85

Years active:1State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for RAVEN KING

402 TAMARACK ST
PARK FOREST, IL 604664108
Phone:
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60466)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0143547117View full group profile

Name	Specialty	State
MELISSA CRAWFORD	Clinical Social Worker	IN
AMIE A BURNS (APN)	-	IN
RACHEL ELAINE BENSON (MA, LCPC)	Mental Health Counselor	IL
MR. BRADLEY A CHAMBERLAIN (LISW, LCSW)	Clinical Social Worker	TX
ANTHONY JOHN PORCARO (LCSW)	Clinical Social Worker	IL
JULIA AUSTIN (NP)	Nurse Practitioner	IL
LORI MOTON (AGPCNP-BC)	-	IL
MEGAN STEFANI (APN)	-	IL
CHRISTINE DELIVA CONTRERAS	Nurse Practitioner	IL
TAMMY GARCIA LEWIS (FNP - BC)	Nurse Practitioner	IN

Reviews

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Frequently asked questions

What is the registry number for RAVEN KING?

The registry entry for RAVEN KING shows NPI 1134933054.

Is RAVEN KING's NPI status active today?

Active status means RAVEN KING's NPI record is not deactivated in the public file.

What does the directory say RAVEN KING does?

Insurance directories may phrase it differently, but here RAVEN KING maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.

Is RAVEN KING tied to Park Forest, Illinois?

If you are local to Park Forest, Illinois, RAVEN KING may be relevant to your search.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.