Individual provider Active NPI

Carolyn Tann-Starr

  • Nurse's Aide
  • Kissimmee, FL
National Provider Identifier
1023485695
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CNA329819 Issued in FL
Practice address
230 E Monument Ave Ste A4
Kissimmee, FL 34741-5731
Phone
(321) 614-5657
Fax
(321) 473-8318
NPI assigned
Aug 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X
Medical Illustrator 246ZI1000X
Home Health Aide 374U00000X
Student in an Organized Health Care Education/Training Program 390200000X
Nurse's Aide 376K00000X CNA329819 FL Primary

Addresses

Primary practice location

230 E Monument Ave Ste A4
Kissimmee, FL 34741-5731

Mailing address

440 Mercer St NW
Tannqigong Institute Inc.
Palm Bay, FL 32907-2933
Phone (321) 614-5657

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

State licenses

LicenseStateTypeSpecialty
CNA329819FLMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1023485695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MERCER ST NW",
            "address_2": "TANNQIGONG INSTITUTE INC.",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072933",
            "telephone_number": "321-614-5657",
            "fax_number": "321-473-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E MONUMENT AVE STE A4",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415731",
            "telephone_number": "321-614-5657",
            "fax_number": "321-473-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANN-STARR",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZI1000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Illustration, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA329819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.