Queerdoc PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

QUEERDOC PLLC

Doing business as

QueerDoc

Practice address

113 Cherry St
Seattle, WA 98104-2205

Phone

(541) 604-8276

Fax

(352) 553-4934

NPI assigned

Dec 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Crystal Joy Beal, MDNPI 1609130723

Title

Physician

Phone

(541) 604-8276

Specialties & licenses 2

Addresses

Other names 1

• QueerDoc Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Crystal J Beal, MD

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1609130723
  NPD Authorized official

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1467112888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CHERRY ST",
            "address_2": "PMBB 73332",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042205",
            "telephone_number": "541-604-8276",
            "fax_number": "352-553-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CHERRY ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042205",
            "telephone_number": "541-604-8276",
            "fax_number": "352-553-4934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 E Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820703715",
            "country_code": "US",
            "telephone_number": "541-604-8276",
            "fax_number": "352-553-4934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 4th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024399",
            "country_code": "US",
            "telephone_number": "541-604-8276",
            "fax_number": "352-553-4934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUEERDOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "541-604-8276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "providers@queerdoc.com",
            "affiliation": "N",
            "endpointDescription": "secure practice email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "113 Cherry St",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981042205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "QueerDoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Queen Anne Medical Associates, PLLC
• Queen Anne Naturopathic Center LTD
• Queen Anne Obstetrics and Gynecology
• Queen Anne Orthodontics
• Ronald Carl Queen, MHP, DD SPECIALIST
• Allison Querimit, M.ED., BCBA
• Julio Quesada
• Quest Diagnostics Clinical Laboratories Inc
• Kent Arthur Questad, PHD
• Natalie C Quevedo

• Medical Specialty Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.