Individual provider Active NPI

Emily Starita, NP-C

  • Nurse Practitioner
  • Chanhassen, MN
National Provider Identifier
1073939476
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG02140091 Issued in MN
Practice address
6728 Lotus TRL
Chanhassen, MN 55317-8573
Phone
(612) 483-0265
NPI assigned
Mar 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AG02140091 MN Primary

Addresses

Primary practice location

6728 Lotus TRL
Chanhassen, MN 55317-8573

Mailing address

6728 Lotus TRL
Chanhassen, MN 55317-8573
Phone (612) 483-0265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20150225002298 MN Practitioner - Nurse Practitioner 1658697271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AG02140091MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CVC Minnesota Physicians, PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1073939476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6728 LOTUS TRL",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178573",
            "telephone_number": "612-483-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6728 LOTUS TRL",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178573",
            "telephone_number": "612-483-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARITA",
        "first_name": "EMILY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "AG02140091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

Verify at the official NPI Registry.