Natalie Kathryn McQueen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

61051 Issued in CA

Practice address

3750 Rohnerville Rd
Fortuna, CA 95540-3118

Phone

(707) 725-4477

NPI assigned

Mar 25, 2015

Last updated

Oct 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Erlanger Health

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1477256303
  Medicare reassignment NPD
• Summit Medical Group, PLLC

  dba Cool Springs Internal Medicine and Pediatrics

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  Medicare reassignment NPD
• Chattanooga Family Practice Associates, P.C.

  • Family Medicine Physician
  • Chattanooga, TN
  • NPI 1124132634
  Medicare reassignment
• Your Good Health, LLC

  dba In Good Health

  • Primary Care Clinic/Center
  • East Ridge, TN
  • NPI 1386864296
  Medicare reassignment
• Summit Medical Group, PLLC

  dba Seymour Medical Center

  • Family Medicine Physician
  • Seymour, TN
  • NPI 1518357292
  NPD
• Advanced Practice Alliance

  • Family Medicine Physician
  • East Ridge, TN
  • NPI 1336950807
  NPD (past)
• Summit Medical Group PLLC

  dba Summit Medical Group of Oak Ridge

  • Family Medicine Physician
  • Oak Ridge, TN
  • NPI 1437238797
  NPD (past)

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1790179984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 ROHNERVILLE RD",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403118",
            "telephone_number": "707-725-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 ROHNERVILLE RD",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403118",
            "telephone_number": "707-725-4477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "961 Spring Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374123959",
            "country_code": "US",
            "telephone_number": "423-892-2221",
            "fax_number": "423-490-3407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 E 3rd St # B-1111",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032173",
            "country_code": "US",
            "telephone_number": "423-778-7000",
            "fax_number": "423-778-3204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "NATALIE",
        "middle_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2733",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2733",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "61051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ardith Lynch, RN
• Michael Francis Manhard, DDS
• Megan Markiewicz
• Jenny Martinez, MSW & PPSC
• Katherine Therese Maxey, MA
• Aiyana B. Meadows, PT
• Medi-Lift Inc
• Debra K Mendes
• Lindsey Mendez, FNP
• Cristina Eleanor Menzie

• Medical Physician Assistant in Fortuna, CA
• Providers in Fortuna, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2024; 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.

Verify at the official NPI Registry.