Organization Active NPI

US Star Nursing

  • Clinic/Center
  • Natchez, MS
National Provider Identifier
1144786948
Registry record updated Feb 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
US STAR NURSING
Practice address
48 East Woodlawn Avenue
Natchez, MS 39120
Phone
(601) 304-2043
NPI assigned
Feb 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2019

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

Authorized official

Name
Tarsha Carter AmbeauNPI 1366598203
Title
Manager
Phone
(601) 304-2043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

48 East Woodlawn Avenue
Natchez, MS 39120

Mailing address

48 East Woodlawn Avenue
Natchez, MS 39120
Phone (601) 304-2043

Other identifiers 1

IdentifierTypeStateIssuer
04821760MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
CG Co American Girl US 7 Star6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550275200000",
    "number": "1144786948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 EAST WOODLAWN AVENUE",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "39120",
            "telephone_number": "601-304-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 EAST WOODLAWN AVENUE",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "39120",
            "telephone_number": "601-304-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US STAR NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-16",
        "last_updated": "2019-02-16",
        "status": "A",
        "authorized_official_last_name": "AMBEAU",
        "authorized_official_first_name": "TARSHA",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-304-2043"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04821760",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.