Kimberly Rowland Queen, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11021874 Issued in FL

Practice address

1004 N Parrott Ave
Okeechobee, FL 34972-2110

Phone

(863) 634-3376

NPI assigned

Sep 15, 2010

Last updated

Oct 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology on the Spot, LLC

  • Dermatology Physician
  • Port Orange, FL
  • NPI 1487058533
  NPD (past)

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1467760231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 N PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722110",
            "telephone_number": "863-634-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722110",
            "telephone_number": "863-634-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 SW 32nd St",
            "address_purpose": "LOCATION",
            "city": "Okeechobee",
            "state": "FL",
            "postal_code": "349745918",
            "country_code": "US",
            "telephone_number": "863-763-2400",
            "fax_number": "863-763-2446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "KIMBERLY",
        "middle_name": "ROWLAND",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2022-10-12",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Rapid Care LLC
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• Promed Walk in Clinic Inc
• Publix Super Markets Inc (Publix Pharmacy #0118)
• Puzzlement Therapy Services LLC
• Rachel Toney
• Donald Jack Raley, PT
• Ramesh Kumar M.D. P.a.
• Raulerson General Surgery Group LLC
• Raulerson GYN LLC

• Family Nurse Practitioner in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.