NPIMap

Organization Active NPI

Brightstar Health Solutions LLC

  • Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1285314575
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BRIGHTSTAR HEALTH SOLUTIONS LLC
Practice address
1208 E Broadway Rd Ste 215
Tempe, AZ 85282-1512
Phone
(682) 200-9629
Fax
(866) 984-4105
NPI assigned
Jul 20, 2023
Organization subpart
Yes
Parent organization
BRIGHTSTAR HEALTH SOLUTIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Quiana Eagletail-Davis
Title
Billing
Phone
(313) 401-5828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1208 E Broadway Rd Ste 215
Tempe, AZ 85282-1512

Mailing address

1208 E Broadway Rd Ste 215
Tempe, AZ 85282-1512

National Provider Directory

National Provider Directory
Part of
Brightstar Health Solutions LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1285314575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E BROADWAY RD STE 215",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E BROADWAY RD STE 215",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821512",
            "telephone_number": "682-200-9629",
            "fax_number": "866-984-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTAR HEALTH SOLUTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHTSTAR HEALTH SOLUTIONS LLC",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "EAGLETAIL-DAVIS",
        "authorized_official_first_name": "QUIANA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "313-401-5828"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.