Active NPI
Starks Medical
- Primary Care Nurse Practitioner
- Bullard, TX
National Provider Identifier
1306570593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- STARKS MEDICAL
- Practice address
- 125 E Main St
Bullard, TX 75757-5345 - Phone
- (903) 339-0887
- NPI assigned
- Jul 13, 2022
- Last updated
- Sep 29, 2024
- 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
- Lindsey Waldrop
- Title
- Billing Manager
- Phone
- (903) 339-0887
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
125 E Main St
Bullard, TX 75757-5345
Mailing address
125 E Main St
Bullard, TX 75757-5345
Phone (903) 339-0887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
125 E Main St
Bullard, TX 75757
Phone (903) 339-0887
709 S Houston St
Bullard, TX 75757
Phone (903) 339-0887
Practitioners & affiliated clinicians
Practitioners 214
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727568000000",
"number": "1306570593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E MAIN ST",
"city": "BULLARD",
"state": "TX",
"postal_code": "757575345",
"telephone_number": "903-339-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E MAIN ST",
"city": "BULLARD",
"state": "TX",
"postal_code": "757575345",
"telephone_number": "903-339-0887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARKS MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-13",
"last_updated": "2024-09-29",
"certification_date": "2024-09-29",
"status": "A",
"authorized_official_last_name": "WALDROP",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "903-339-0887"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bullard, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.