Organization Active NPI

Debra Starker

  • Registered Nurse
  • Beaver Dam, WI
National Provider Identifier
1386604262
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
DEBRA STARKER
Practice address
609 Lakeshore Dr
Beaver Dam, WI 53916-1431
Phone
(920) 887-8442
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Debra Kay Starker
Title
RN
Phone
(920) 887-8442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

609 Lakeshore Dr
Beaver Dam, WI 53916-1431

Mailing address

609 Lakeshore Dr
Beaver Dam, WI 53916-1431

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1386604262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 LAKESHORE DR",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 LAKESHORE DR",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161431",
            "telephone_number": "920-887-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA STARKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "STARKER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "920-887-8442"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.