Organization Active NPI

Julia E McNabb, D.O. LLC

  • Primary Care Clinic/Center
  • Queen City, MO
National Provider Identifier
1154525053
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JULIA E MCNABB, D.O. LLC
Practice address
513 N Olive St
Queen City, MO 63561-1054
Phone
(660) 766-2300
Fax
(626) 593-4791
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Julia E McNabb, D.O.NPI 1669532727
Title
Owner
Phone
(660) 626-5413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

513 N Olive St
Queen City, MO 63561-1054

Mailing address

PO Box 40
Queen City, MO 63561-0040
Phone (660) 766-2300

Other names 1

  • McNabb Medical Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2155838McNabb Medical513 N Olive Street, Queen City, MO 63561Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory

Locations

1108 E Patterson St
Ste 3
Kirksville, MO 63501
Phone (660) 627-5175

513 N Olive St
Queen City, MO 63561
Phone (660) 766-2300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1154525053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "QUEEN CITY",
            "state": "MO",
            "postal_code": "635610040",
            "telephone_number": "660-766-2300",
            "fax_number": "626-593-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 N OLIVE ST",
            "city": "QUEEN CITY",
            "state": "MO",
            "postal_code": "635611054",
            "telephone_number": "660-766-2300",
            "fax_number": "626-593-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA E MCNABB, D.O. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "MCNABB",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-626-5413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McNabb Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McNabb Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queen City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.