Active NPI
Queen B. Usi, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Kansas City, MO
National Provider Identifier
1760917405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2017021977
- Practice address
- 1010 Carondelet Dr
Kansas City, MO 64114 - Phone
- (816) 523-0103
- NPI assigned
- May 1, 2017
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201905080NP | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2017021977 | MO | Primary |
Addresses
Primary practice location
1010 Carondelet Dr
Kansas City, MO 64114
Mailing address
1010 Carondelet Dr
Kansas City, MO 64114-4859
Phone (816) 523-0103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500776764 | Medicaid | OR |
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017021977 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
| 201905080NP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas City University | Past | Accepting new patients | |
| Lutheran Community Services NW | Past | Accepting new patients |
Interoperability endpoints
- queen.usi.p1@direct.lanecounty.nextgenshare.com
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Bend, OR
- NPI 1093074882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760917405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 CARONDELET DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144859",
"telephone_number": "816-523-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 CARONDELET DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64114",
"telephone_number": "816-523-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USI",
"first_name": "QUEEN",
"middle_name": "B.",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-01",
"last_updated": "2022-07-21",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201905080NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2017021977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500776764",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
- US PT Therapy Services Inc (Pinnacle Therapy Services)
- US PT Therapy Services Inc. (Pinnacle Therapy Services (Tiffany Springs))
- US PT Therapy Services Inc. (Pinnacle Therapy Services (Ward Prkwy))
- US PT Therapy Services Inc. (Pinnacle Therapy Services)
- USA Vein Clinics of Missouri LLC
- Aisha Paki Usman, APRN
- Uzazi Village
- Felix Uzomah
- V N a Corporation (Visiting Nurse Association)
- Tracy Deann Vacca, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.