Individual provider Active NPI

Renee Starrett Qamar, OTRL

  • Specialist
  • Ithaca, NY
National Provider Identifier
1548474281
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0123671 Issued in NY
Practice address
158 Lexington Dr
Ithaca, NY 14850-1719
Phone
(607) 257-3625
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0123671 NY Primary

Addresses

Primary practice location

158 Lexington Dr
Ithaca, NY 14850-1719

Mailing address

158 Lexington Dr
Ithaca, NY 14850-1719
Phone (607) 257-3625

Other names 1

  • Mrs. Renee Starrett Qamar Other name

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

LicenseStateTypeSpecialty
0123671NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548474281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 LEXINGTON DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501719",
            "telephone_number": "607-257-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 LEXINGTON DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501719",
            "telephone_number": "607-257-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAMAR",
        "first_name": "RENEE",
        "middle_name": "STARRETT",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "0123671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "QAMAR",
            "middle_name": "STARRETT",
            "prefix": "MRS.",
            "credential": "OTRL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.