Individual provider Active NPI

Kelly Stars, ARNP, FNP

  • Family Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1437691615
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9297072 Issued in FL
Practice address
220 SW 84TH Ave Ste 206
Plantation, FL 33324-2755
Phone
(954) 423-2300
NPI assigned
Nov 5, 2016
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9297072 FL Primary

Addresses

Primary practice location

220 SW 84TH Ave Ste 206
Plantation, FL 33324-2755

Mailing address

220 SW 84TH Ave Ste 206
Plantation, FL 33324-2755
Phone (954) 423-2300

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9297072OtherFLFLORIDA BOARD OF NURSING

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9297072FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Broward Pediatrics, P.a. PastSince Nov 20, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1437691615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE STE 206",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242755",
            "telephone_number": "954-423-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE STE 206",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242755",
            "telephone_number": "954-423-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARS",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-05",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9297072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF NURSING",
            "identifier": "ARNP9297072",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.