Organization Active NPI

Stellar Healthcare LLC

  • Family Nurse Practitioner
  • Hermitage, TN
National Provider Identifier
1467885384
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17056 Issued in TN
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

Updated by the provider on Aug 14, 2013

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.