Active NPI
Katherine F McQueen, DC
- Chiropractor
- Mullins, SC
National Provider Identifier
1144314972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2596
- Practice address
- 403 South Main Street
Mullins, SC 29574-3113 - Phone
- (843) 464-4870
- Fax
- (843) 464-9572
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2596 | SC | Primary |
Addresses
Primary practice location
403 South Main Street
Mullins, SC 29574-3113
Mailing address
403 South Main Street
Mullins, SC 29574-3113
Phone (843) 464-4870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH2596GCH359 | Medicaid | SC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2596 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McQueen Family Chiropractic | Chiropractor | 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.
-
- Chiropractor
- Mullins, SC
- NPI 1366403909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144314972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 SOUTH MAIN STREET",
"city": "MULLINS",
"state": "SC",
"postal_code": "295743113",
"telephone_number": "843-464-4870",
"fax_number": "843-464-9572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 SOUTH MAIN STREET",
"city": "MULLINS",
"state": "SC",
"postal_code": "295743113",
"telephone_number": "843-464-4870",
"fax_number": "843-464-9572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUEEN",
"first_name": "KATHERINE",
"middle_name": "F",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH2596GCH359",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mullins, SC
- McLeod Health Cheraw
- McLeod Physician Associates II
- McLeod Physician Associates, Inc
- Tammy B McMillan
- McQueen Family Chiropractic
- Med-Trans Corporation
- Medical University Hospital Authority
- Medical University Hospital Authority
- Medical University Hospital Authority
- Medical University Hospital Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.