Princess Kathleene Quinn, BCCS

Primary specialty

SpecialistTaxonomy code 174400000X

License

188792 Issued in MS

Practice address

1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079

Phone

(601) 291-9058

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1568015550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 HIGHLAND COVE PL",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571523",
            "telephone_number": "601-291-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHLAND COLONY PKWY STE 5203",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572079",
            "telephone_number": "601-291-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "PRINCESS",
        "middle_name": "KATHLEENE",
        "credential": "BCCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "188792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality Med Screens, LLC
• David Allen Quin, LPC
• Quincy M Bennett (Central MS Speech & Hearing)
• Danlee Quinlivan, PTA
• Quinn Healthcare,PLLC
• Timothy Michael Quinn, MD
• Hina Naseem Qureshi, MD
• R & E Pharmacies, Inc (Choice Pharmacy)
• R & E Pharmacies, Inc (Choice Pharmacy)
• Holly McGregor Rainey, COTA-L

• Specialist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.