Active NPI
Stellar Healthcare LLC
- Family Nurse Practitioner
- Hermitage, TN
National Provider Identifier
1467885384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17056
- Legal business name
- STELLAR HEALTHCARE LLC
- Practice address
- 5045 Old Hickory Blvd
Suite 102
Hermitage, TN 37076-2582 - Phone
- (615) 884-6466
- Fax
- (615) 953-6834
- NPI assigned
- Aug 14, 2013
- 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
- Dr. Douglas Jay Stogner
- Title
- Owner
- Phone
- (615) 294-4747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17056 | TN | Primary |
Addresses
Primary practice location
5045 Old Hickory Blvd
Suite 102
Hermitage, TN 37076-2582
Mailing address
5045 Old Hickory Blvd
Suite 102
Hermitage, TN 37076-2582
Phone (615) 884-6466
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376438400000",
"number": "1467885384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5045 OLD HICKORY BLVD",
"address_2": "SUITE 102",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370762582",
"telephone_number": "615-884-6466",
"fax_number": "615-953-6834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5045 OLD HICKORY BLVD",
"address_2": "SUITE 102",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370762582",
"telephone_number": "615-884-6466",
"fax_number": "615-953-6834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STELLAR HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A",
"authorized_official_last_name": "STOGNER",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-294-4747",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "17056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.