Active NPI
Sadequa Jones-McQueen, HAIR LOSS SPECIALIST
- Prosthetics Case Management
- Sanford, NC
National Provider Identifier
1295382158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- C84039
- Practice address
- 601 Britton CT
Sanford, NC 27330-7309 - Phone
- (919) 798-4529
- NPI assigned
- Aug 23, 2019
- Last updated
- Aug 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | C84039 | NC | Primary |
| Prosthetist | 224P00000X | C84039 | NC |
Addresses
Primary practice location
601 Britton CT
Sanford, NC 27330-7309
Mailing address
601 Britton CT
Sanford, NC 27330-7309
Phone (919) 798-4529
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 |
|---|---|---|---|
| C84039 | NC | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1295382158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 BRITTON CT",
"city": "SANFORD",
"state": "NC",
"postal_code": "273307309",
"telephone_number": "919-798-4529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 BRITTON CT",
"city": "SANFORD",
"state": "NC",
"postal_code": "273307309",
"telephone_number": "919-798-4529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES-MCQUEEN",
"first_name": "SADEQUA",
"name_prefix": "Mrs.",
"credential": "HAIR LOSS SPECIALIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-23",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "NC",
"license": "C84039",
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NC",
"license": "C84039",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
- Alivia Nicole Johnson
- Imani Nia Johnson, MS, MSW, LCSWA
- May PA Tha Johnson
- Walter Sir Anthony Johnson III, MSW
- Jonathan D. Mosley, DDS, P.a. (Affordable Dentures & Implants - Sanford)
- Faith Ann Jones, MS, CF-SLP
- John Fletcher Jones, M.D.
- Lisa Llewellyn Jones, M.D.
- Rodney C Jones, M.S.W.,L.C.S.W.
- Shawn Robert Jones, MSW, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.