Active NPI
Natoya A Queenbourrows, NURSE PRACTITIONER
- Psychiatric/Mental Health Nurse Practitioner
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 9366533
- Practice address
- 1230 NW Leonardo Cir
Port St Lucie, FL 34986-4343 - Phone
- (772) 224-5654
- NPI assigned
- Dec 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 9366533 | FL | Primary |
| Family Medicine Physician | 207Q00000X | ARNP9366533 | FL | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 9366533 | FL |
Addresses
Primary practice location
1230 NW Leonardo Cir
Port St Lucie, FL 34986-4343
Mailing address
1230 NW Leonardo Cir
Port St Lucie, FL 34986-4343
Other practice location 1
2505 Metrocentre Blvd
West Palm Beach, FL 33407-3114
Phone (561) 201-1516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9366533 | FL | MD | Family Medicine Physician |
| 9366533 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Internal Medicine and Psychiatric Care | Multi-Specialty | Current | Accepting new patients |
| Genpsych, LLC | Current | Accepting new patients | |
| Genpsych Personal Care | Current | Accepting new patients |
Locations
2505 Metrocentre Blvd
Ste 300
West Palm Beach, FL 33407
Phone (561) 478-2003
2505 Metrocentre Blvd
West Palm Beach, FL 33407
Phone (561) 201-1516
3915 Cascade Rd SW
Ste 360
Atlanta, GA 30331
Phone (404) 291-0416
1065 US Highway 22
Ste 3
Bridgewater, NJ 08807
Phone (908) 526-8370
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Atlanta, GA
- NPI 1003174624
Multi-Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Palm Beach, FL
- NPI 1124792486
-
- In Home Supportive Care Agency
- Bridgewater, NJ
- NPI 1497467062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1639685266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 NW LEONARDO CIR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349864343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 NW LEONARDO CIR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349864343",
"telephone_number": "772-224-5654"
}
],
"practiceLocations": [
{
"address_1": "2505 Metrocentre Blvd",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334073114",
"country_code": "US",
"telephone_number": "561-201-1516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUEENBOURROWS",
"first_name": "NATOYA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-19",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "9366533",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ARNP9366533",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": "FL",
"license": "9366533",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.