Ejeanee D. Queen, RN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

735724 Issued in TX

Practice address

1906 Peabody Ave
Dallas, TX 75215-2821

Phone

(214) 421-7848

Fax

(214) 421-1119

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Nurse Practitioner, Registered Nurse

State licenses

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.

• AIDS Arms, Inc.

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1609852813
  Medicare reassignment

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982749123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PLEASANT RUN RD",
            "address_2": "#4633",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751045513",
            "telephone_number": "214-421-7848",
            "fax_number": "214-421-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 PEABODY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152821",
            "telephone_number": "214-421-7848",
            "fax_number": "214-421-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "EJEANEE",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "735724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Quashie, RDN
• Gentry Quattlebaum, RBT
• Esi Quayson, M.D.
• William Quayson
• Queen-Tessential Counseling
• Benjamin Quenzer, M.D.
• Ross G Querry, PT PHD
• Megan Query, AGACNP
• Lauren Lia Quesada, MD
• Kathryn Anne Quest, M.S. LPC

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.