Ricardo Wellington McQueen Sr., ETC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1950 Lee Rd Ste 204
Winter Park, FL 32789-7210

Phone

(407) 960-7373

Fax

(407) 960-7375

NPI assigned

Jun 12, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ricardo Wellington McQueen Sr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1922412451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LEE RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891859",
            "telephone_number": "407-960-7373",
            "fax_number": "407-960-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LEE RD STE 204",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897210",
            "telephone_number": "407-960-7373",
            "fax_number": "407-960-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "RICARDO",
        "middle_name": "WELLINGTON",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "ETC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICARDO",
            "last_name": "MCQUEEN",
            "middle_name": "WELLINGTON",
            "suffix": "SR.",
            "credential": "ETC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Anne McManus, RD
• Patricia Elizabeth McMillan, M.D.
• Kristin S McMillen, OTD
• Christina Louise McNamara, LCSW
• Angel L McNeill, LMHC
• Savannah McSheffrey, PHD
• Krista McSweeney
• Jason A McWhirter, DC
• Cecilia McWhorter, LCSW
• Me Solutions

• Case Manager/Care Coordinator in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.