ANNETTE Q KING (MS, RDN) – Metabolic Nutrition Registered Dietitian, NPI 1235714973
Metabolic Nutrition Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
166 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in VA
Provider Addresses for ANNETTE Q KING (MS, RDN)
50 MEDICAL PARK BLVD STE C
PETERSBURG, VA 238059275
Phone: (804) 764-7885
Fax: (804) 559-6185
Type: Location
2685 DORSET RIDGE TER
POWHATAN, VA 231397541
Phone: (804) 720-1132
Type: Location
PO BOX 639969
CINCINNATI, OH 452639969
Phone:
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-03-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210326001951 | I | Registered Dietitian Or Nutrition Professional | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0109 | Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes | 370 | 47 | $0 |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 70 | 35 | $0 |
Insurance plans in this area (ZIP 23805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | VA | |
| N E U R O L O G Y | MA | |
| General Surgery | VA | |
| - | VA | |
| - | VA | |
| General Surgery | NC | |
| Cardiac Surgery | VA | |
| - | VA | |
| E N D O C R I N O L O G Y | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA |
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