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Queenessa Mckelvie

Physician β€’ Saint Albans, NY

Deactivated NPI 1104470780 Deactivated in NPPES Female Practitioner
Practice location in NPPES

10436 196th St Apt 6a
Saint Albans, NY 114121155

Phone: 7188790737

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of February 01, 2020; the reason is not published. The records below are historical. They do not show whether Queenessa Mckelvie currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date July 31, 2019
NPI Deactivation Date February 01, 2020
NPI Active Period 2019 – 2020

Practice Location & Contact Primary Location

Practice Address

10436 196th St Apt 6a

Saint Albans, NY 114121155

Telephone 7188790737

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Saint Albans and New York

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated February 01, 2020

NPPES lists this NPI as deactivated as of February 01, 2020; the reason is not published.

βœ…
NPI Profile Active July 31, 2019

NPI status registered as active in NPPES database

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Practice Location (Initial Record) July 31, 2019

Registered at 10436 196TH ST APT 6A, SAINT ALBANS, NY 114121155 (Tel: 7188790737)

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Business Mailing Address (Initial Record) July 31, 2019

Registered at 10436 196TH ST APT 6A, SAINT ALBANS, NY 114121155 (Tel: 7188790737)

πŸ‘€
Provider Name / Credentials (Initial Record) July 31, 2019

Recorded as QUEENESSA MCKELVIE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2019

Home Health

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Initial NPI Registration & Enumeration July 31, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104470780
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2019
Last Update: July 31, 2019
Deactivation Date: February 01, 2020

Mailing Address

10436 196th St Apt 6a

Saint Albans, NY 114121155

Phone: 7188790737

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.