Individual provider Active NPI

Queenetta Strickland, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1235914912
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5018901 Issued in NC
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

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250220000261 NC Practitioner - Nurse Practitioner 4789104829 Reassigns benefits to 2 organizations

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
Rhodium Care Group PLLCGroup PAC ID 1052750569, 3 clinicians
New Dimension Group, LLCGroup PAC ID 0547337123, 5 clinicians

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

LicenseStateTypeSpecialty
218601NCMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Dimension Group, LLC CurrentSince Jan 27, 2025 Accepting new patients
Celeste M Good PastSince Oct 8, 2023 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.

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

Verify at the official NPI Registry.