MRS. KELLI LYNN QUEEN (NPI# 1407184831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407184831 |
| Entity Type | Individual |
| Full Name | MRS. KELLI LYNN QUEEN |
| Credential | NNP-BC |
| Practice Address |
101 Stadium Drive Morgantown WV 26506-0000 |
| Mailing Address |
Po Box 780 Morgantown WV 26506-0000 |
| Practice Telephone | 3045984000 |
| Mailing Telephone | 3042937401 |
| Mailing Fax Number | 3042936963 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
62992 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 STADIUM DRIVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700989647 | Jeffrey H Coben | Emergency Medicine | 101 Stadium Drive, Morgantown, WV 26506 | 2006-09-06 |
| 1417586702 | Azhara Binte Azhar | Student in an Organized Health Care Education/Training Program | 101 Stadium Drive, Morgantown, WV 26506-7911 | 2020-04-07 |
| 1740456995 | Josephine Reece | Internal Medicine | 101 Stadium Drive, Uha Morgantown, Morgantown, WV 26506 | 2008-05-07 |
| 1124202312 | Rita L Matulavich | Nurse Anesthetist, Certified Registered | 101 Stadium Drive, Morgantown, WV 26506 | 2007-12-24 |
| 1841417870 | Andrew L Criser | Anesthesiology | 101 Stadium Drive, Morgantown, WA 26506 | 2007-04-19 |
| 1801013420 | Bijal Neal | Anesthesiology | 101 Stadium Drive, Morgantown, WV 26506 | 2007-04-18 |
| 1932289816 | Vicki L Everly | Emergency Medicine | 101 Stadium Drive, Morgantown, WV 26505 | 2006-10-16 |
| 1962582841 | William T Dickey | Emergency Medicine | 101 Stadium Drive, Morgantown, WV 26505 | 2006-10-16 |
| 1043390925 | Jack F Ditty IIi | Emergency Medicine | 101 Stadium Drive, Morgantown, WV 26505 | 2006-10-16 |
| 1326141268 | Sean M Curry | Emergency Medicine | 101 Stadium Drive, Morgantown, WV 26506 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780791152 | Barbara Nightengale | Nurse Practitioner | 1 Medical Center Drive, Department of Pediatrics, Morgantown, WV 26506-9214 | 2006-08-23 |
| 1487761847 | Brenda Daugherty | Nurse Practitioner | 1 Medical Center Drive, Department of Pediatrics, Morgantown, WV 26506-9214 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902381528 | Amanda Kish | Nurse Practitioner | 1340 Hal Greer Blvd, Huntington, WV 25701-0195 | 2018-09-28 |
| 1629586128 | Jennifer Lynn Thompson | Nurse Practitioner | 1340 Hal Greer Blvd, Huntington, WV 25701-3800 | 2018-01-18 |
| 1881970242 | Marsha Carole Williams | Nurse Practitioner | 1340 Hal Greer Blvd, Huntington, WV 25701-3800 | 2011-10-31 |
| 1285910687 | Ada Jacqueline Edwards | Nurse Practitioner | 1340 Hal Greer Blvd, Huntington, WV 25701-3800 | 2011-10-30 |
| City | MORGANTOWN |
| Zip Code | 26506 |
Please comment or provide details below to improve the information on MRS. KELLI LYNN QUEEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.