Starfish Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

14226 Issued in MS

Legal business name

STARFISH FAMILY PRACTICE

Practice address

13066 Shriners Blvd
Suite a and B
Biloxi, MS 39532-8616

Phone

(228) 396-5022

Fax

(228) 396-5028

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Karen Yaltah Mullen, M.D.

Title

Owner

Phone

(228) 396-5022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1154733673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13066 SHRINERS BLVD",
            "address_2": "SUITE A AND B",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395328616",
            "telephone_number": "228-396-5022",
            "fax_number": "228-396-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13066 SHRINERS BLVD",
            "address_2": "SUITE A AND B",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395328616",
            "telephone_number": "228-396-5022",
            "fax_number": "228-396-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "YALTAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-396-5022",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "14226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06103001",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Annette Stangle, M.D.
• Brooke Stanley
• Jeana Stanley, DPT
• Nathan Paul Stanley, FNP-C
• James Floyd Stanovich, D.M.D.
• Julia Starkey
• State Veterans Affairs Board
• Ursula Christina Staten, LMT
• Susan Diane Steady, RDH
• Amanda Diaz Steele, LMSW

• Primary Care Clinic/Center in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.