Active NPI
Kenya McQueen
- Community Health Worker
- Sacramento, CA
National Provider Identifier
1942783030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 3810 Rosin CT Ste 180
Sacramento, CA 95834-1658 - Phone
- (916) 283-8280
- NPI assigned
- Sep 13, 2018
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3810 Rosin CT Ste 180
Sacramento, CA 95834-1658
Mailing address
10850 Gold Center Dr Ste 325
Rancho Cordova, CA 95670-6177
Other practice location 1
2130 Stockton Blvd # 300
Sacramento, CA 95817-1337
Phone (916) 364-8395
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point Community Programs - PSH | Past | Accepting new patients | |
| Ed Support Services | Behavior Analyst | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Sacramento, CA
- NPI 1114054475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1942783030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10850 GOLD CENTER DR STE 325",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 ROSIN CT STE 180",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341658",
"telephone_number": "916-283-8280"
}
],
"practiceLocations": [
{
"address_1": "2130 Stockton Blvd # 300",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958171337",
"country_code": "US",
"telephone_number": "916-364-8395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCQUEEN",
"first_name": "KENYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.