Northstar Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHSTAR HEALTHCARE LLC

Practice address

1540 Appling Care LN Ste 100
Cordova, TN 38016-4947

Phone

(901) 202-0735

Fax

(901) 800-2487

NPI assigned

Jan 28, 2021

Organization subpart

No

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

Authorized official

Name

Kelsey Blevins

Title

National Director of Operations

Phone

(901) 378-3561

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1720679145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 APPLING CARE LN STE 105",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164947",
            "telephone_number": "901-378-3561",
            "fax_number": "901-444-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 APPLING CARE LN STE 100",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164947",
            "telephone_number": "901-202-0735",
            "fax_number": "901-800-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "NATIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "901-378-3561"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren E Noelker, M.S.
• Robert Michael Nollner, MD
• Christina Nicole Norris
• North Star Institute for Autism and Related Conditions
• Northstar Healthcare Alpha LLC
• Tamyra H. Norwood, APRN, PMHNP-BC
• NP Cares, LLC
• Nuvacare Family Medicine & Obstetrics PLLC
• Josanne Mildred O'Dell, D.D.S.
• Oakland Obstetrics and Gynecology 2, LLC

• Family Medicine Physician in Cordova, TN
• Providers in Cordova, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.