Active NPI
Taylor Addison Starks
- Physician Assistant
- Frisco, TX
National Provider Identifier
1417684788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PENDING
- Practice address
- 5375 Coit Rd Ste 130
Frisco, TX 75035-4914 - Phone
- (214) 619-1910
- NPI assigned
- Aug 5, 2022
- Last updated
- Aug 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PENDING | TX | Primary |
Addresses
Primary practice location
5375 Coit Rd Ste 130
Frisco, TX 75035-4914
Mailing address
1524 Independence Pkwy Ste A1
Plano, TX 75075-6440
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1417684788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 INDEPENDENCE PKWY STE A1",
"city": "PLANO",
"state": "TX",
"postal_code": "750756440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5375 COIT RD STE 130",
"city": "FRISCO",
"state": "TX",
"postal_code": "750354914",
"telephone_number": "214-619-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARKS",
"first_name": "TAYLOR",
"middle_name": "ADDISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-05",
"last_updated": "2023-08-31",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.