Active NPI
Mary Patricia McQueen, ANP-BC
- Adult Health Nurse Practitioner
- Boulder, CO
National Provider Identifier
1063667723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN 182011; APN 5627
- Practice address
- University of Colorado Wardenburg Health Ctr
119 Ucb
Boulder, CO 80309-0001 - Phone
- (303) 735-6159
- NPI assigned
- Nov 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN 182011; APN 5627 | CO | Primary |
Addresses
Primary practice location
University of Colorado Wardenburg Health Ctr
119 Ucb
Boulder, CO 80309-0001
Mailing address
1339 North St
Boulder, CO 80304-3510
Phone (303) 845-0232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 182011; APN 5627 | CO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Colorado | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Denver, CO
- NPI 1477553014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227312000000",
"number": "1063667723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1339 NORTH ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043510",
"telephone_number": "303-845-0232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF COLORADO WARDENBURG HEALTH CTR",
"address_2": "119 UCB",
"city": "BOULDER",
"state": "CO",
"postal_code": "803090001",
"telephone_number": "303-735-6159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUEEN",
"first_name": "MARY",
"middle_name": "PATRICIA",
"credential": "ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-22",
"last_updated": "2008-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CO",
"license": "RN 182011; APN 5627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.