Active NPI
US Star Nursing
- Clinic/Center
- Natchez, MS
National Provider Identifier
1144786948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tarsha Carter Ambeau
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04821760 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- CG Co American Girl US 7 Star
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Natchez, MS
- NPI 1881457711
-
- Speech/Language/Hearing Specialist/Technologist
- Natchez, MS
- NPI 1477427235
-
- School Registered Nurse
- Natchez, MS
- NPI 1639594930
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Laboratory Management Specialist/Technologist
- Natchez, MS
- NPI 1366598203
Multi-Specialty
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.