Active NPI
Queenetta Strickland, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5018901
- Practice address
- 1103 Corporate Dr Ste a
Greenville, NC 27858-5968 - Phone
- (252) 758-6080
- NPI assigned
- Aug 30, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 218601 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5018901 | NC | Primary |
Addresses
Primary practice location
1103 Corporate Dr Ste a
Greenville, NC 27858-5968
Mailing address
1103 Corporate Dr Ste a
Greenville, NC 27858-5968
Phone (252) 758-6080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Don Juan Rd
Hertford, NC 27944-9340
Phone (212) 734-6621
416 W Ridge St
Rose Hill, NC 28458-0880
416 W Ridge St
Rose Hill, NC 28458-7733
Phone (910) 289-2610
PO Box
Suite 880
Rose Hill, NC 28458-0880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218601 | NC | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Dimension Group, LLC | Current | Accepting new patients | |
| Celeste M Good | Past | Accepting new patients |
Locations
210 N Sycamore St
Rose Hill, NC 28458
Phone (910) 289-2120
416 W Ridge St
Rose Hill, NC 28458
Phone (910) 289-2610
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Rose Hill, NC
- NPI 1912032475
-
- Clinical Psychologist
- Hertford, NC
- NPI 1699534537
-
- Psychiatry Physician
- Greenville, NC
- NPI 1093899783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1235914912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 CORPORATE DR STE A",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585968",
"telephone_number": "252-758-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 CORPORATE DR STE A",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585968",
"telephone_number": "252-758-6080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRICKLAND",
"first_name": "QUEENETTA",
"name_prefix": "Mrs.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-30",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NC",
"license": "218601",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5018901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.