Individual provider Active NPI

Queenate Okpaleke, ARNP

  • Family Nurse Practitioner
  • Temple Terrace, FL
National Provider Identifier
1588071567
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9231093 Issued in FL
Practice address
9780 N 56TH St Ste C
Temple Terrace, FL 33617-5508
Phone
(813) 549-7465
Fax
(813) 549-7399
NPI assigned
Jul 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9231093 FL Primary

Addresses

Primary practice location

9780 N 56TH St Ste C
Temple Terrace, FL 33617-5508

Mailing address

9780 N 56TH St Ste C
Temple Terrace, FL 33617-5508
Phone (813) 549-7465

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9231093FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Medical Clinics LLC PastSince Apr 12, 2016 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.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1588071567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 N 56TH ST STE C",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175508",
            "telephone_number": "813-549-7465",
            "fax_number": "813-549-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 N 56TH ST STE C",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175508",
            "telephone_number": "813-549-7465",
            "fax_number": "813-549-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPALEKE",
        "first_name": "QUEENATE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9231093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.