Stara Med Spa, PLLC.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

STARA MED SPA, PLLC.

Practice address

216 E Grand River Rd
Laingsburg, MI 48848-8600

Phone

(616) 334-9987

NPI assigned

Nov 16, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Stacey Krause, BSN, RN

Title

Authorized Official

Phone

(616) 334-9987

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1508575788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E GRAND RIVER RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488488600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E GRAND RIVER RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488488600",
            "telephone_number": "616-334-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARA MED SPA, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "616-334-9987",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Laingsburg, MI
• Providers in Laingsburg, MI by specialty
• Health Service Clinic/Center in Michigan

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