Organization Active NPI

Queenie'S Angels, LLC

  • Developmental Disabilities Clinic/Center
  • Saint Petersburg, FL
National Provider Identifier
1346731387
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
QUEENIE'S ANGELS, LLC
Practice address
6355 27TH St N
Saint Petersburg, FL 33702-6395
Phone
(727) 667-2184
NPI assigned
May 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
Laquanda Shaunta WhitakerNPI 1205326600
Title
Owner
Phone
(727) 667-2184

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
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

6355 27TH St N
Saint Petersburg, FL 33702-6395

Mailing address

PO Box 3392
Pinellas Park, FL 33780-3392
Phone (727) 667-2184

National Provider Directory

National Provider Directory

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": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1346731387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3392",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337803392",
            "telephone_number": "727-667-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 27TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337026395",
            "telephone_number": "727-667-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENIE'S ANGELS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "LAQUANDA",
        "authorized_official_middle_name": "SHAUNTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-667-2184"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.