Individual provider Active NPI

Lauren R Queen, OTR/L

  • Occupational Therapist
  • Boone, NC
National Provider Identifier
1922878487
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16482 Issued in NC
Practice address
450 New Market Blvd Ste 3
Boone, NC 28607-5501
Phone
(828) 355-9584
Fax
(282) 355-9689
NPI assigned
Jan 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 16482 NC Primary

Addresses

Primary practice location

450 New Market Blvd Ste 3
Boone, NC 28607-5501

Mailing address

450 New Market Blvd Ste 3
Boone, NC 28607-5501
Phone (828) 355-9584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617002338 NC Practitioner - Occupational Therapist in Private Practice 8426591678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Lymphatics of NC PCGroup PAC ID 8426192212, 8 clinicians

Practice addresses (Care Compare)

450 New Market Blvd
Suite 3
Boone, NC 28607-5501
Phone (828) 355-9584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16482NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Lymphatics of NC PC Occupational Therapist CurrentSince Apr 3, 2024 Accepting new patients

Locations

450 New Market Blvd
Ste 3
Boone, NC 28607
Phone (828) 964-3026

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1922878487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NEW MARKET BLVD STE 3",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075501",
            "telephone_number": "828-355-9584",
            "fax_number": "282-355-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NEW MARKET BLVD STE 3",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075501",
            "telephone_number": "828-355-9584",
            "fax_number": "282-355-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "LAUREN",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "16482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.