Renee McQueen, R.D.A

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

D160052682 Issued in OR

Practice address

12711 SE Mill Plain Blvd
Vancouver, WA 98684-6053

Phone

(360) 896-4484

NPI assigned

Mar 15, 2016

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

Practice roles

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.

• Kaiser Permanente Dental Care Program

  • Dental Hygienist
  • Vancouver, WA
  • NPI 1043224678
  NPD (past)

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1720449937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15613 NE 92ND ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986821506",
            "telephone_number": "503-407-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12711 SE MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846053",
            "telephone_number": "360-896-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "RENEE",
        "credential": "R.D.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "OR",
            "license": "D160052682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia G McNally, MD
• Billi M McNary, FNP-C
• Tanya McNeely
• Elizabeth Jane McPhee, OT/L
• Dan Kendall McQueen
• Sandi Lee McQueen, MSW
• Robert Gowan McQuillen, MS
• Michael Kent McQuivey, PT
• Mariah McSkimming
• Derek McTyier, O.D.

• Dental Assistant in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dental Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.