Active NPI
Colleen Rae McQuaid, CNS-PMH, BC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Dallas, TX
National Provider Identifier
1518064096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 255887
- Practice address
- 4500 South Lancaster Road
Dallas, TX 75216 - Phone
- (800) 849-3597
- Fax
- (214) 302-1441
- NPI assigned
- Sep 19, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 255887 | TX | Primary |
Addresses
Primary practice location
4500 South Lancaster Road
Dallas, TX 75216
Mailing address
1612 Robin Rd.
Pantego, TX 76013
Phone (817) 688-7352
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0134143-01 | Other | TX | ANCC CERT. NO. |
| 255887 | Other | TX | REGISTERED NSG LICENSE |
| 11712 | Other | TX | LPC LICENSE NUMBER |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adapt of Texas, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Agency
- Dallas, TX
- NPI 1629093117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1518064096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 ROBIN RD.",
"city": "PANTEGO",
"state": "TX",
"postal_code": "76013",
"telephone_number": "817-688-7352",
"fax_number": "214-302-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 SOUTH LANCASTER ROAD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75216",
"telephone_number": "800-849-3597",
"fax_number": "214-302-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUAID",
"first_name": "COLLEEN",
"middle_name": "RAE",
"credential": "CNS-PMH, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "TX",
"license": "255887",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC CERT. NO.",
"identifier": "0134143-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NSG LICENSE",
"identifier": "255887",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC LICENSE NUMBER",
"identifier": "11712",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.