Individual provider Active NPI

Jessica Lynn Starr, RN, BSN

  • Community Health Registered Nurse
  • San Diego, CA
National Provider Identifier
1174148001
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
77366 Issued in CA
Practice address
County of San Diego - Public Health Services
3851 Rosecrans Street
San Diego, CA 92110-3134
Phone
(619) 531-5800
Fax
(619) 542-4186
NPI assigned
Jun 16, 2020
Last updated
Jul 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 763291 CA
School Registered Nurse 163WS0200X 763291 CA
Community Health Registered Nurse 163WC1500X 77366 CA Primary

Addresses

Primary practice location

County of San Diego - Public Health Services
3851 Rosecrans Street
San Diego, CA 92110-3134

Mailing address

County of San Diego - Public Health
3851 Rosecrans Street
San Diego, CA 92110-3134
Phone (619) 531-5800

Other practice location 1

935 G Ave
Coronado, CA 92118-2511
Phone (619) 405-0870

Other practice location 2

820 4th Ave
Chula Vista, CA 91911-1102
Phone (619) 476-3313

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
77366CAMDMarriage & Family Therapist
763291CAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1174148001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COUNTY OF SAN DIEGO - PUBLIC HEALTH",
            "address_2": "3851 ROSECRANS STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103134",
            "telephone_number": "619-531-5800",
            "fax_number": "619-542-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COUNTY OF SAN DIEGO - PUBLIC HEALTH SERVICES",
            "address_2": "3851 ROSECRANS STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103134",
            "telephone_number": "619-531-5800",
            "fax_number": "619-542-4186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 G Ave",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921182511",
            "country_code": "US",
            "telephone_number": "619-405-0870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919111102",
            "country_code": "US",
            "telephone_number": "619-476-3313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARR",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "763291",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "763291",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "77366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.