Individual provider Active NPI

Carol L Starr, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1740283076
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225319 Issued in TX
Practice address
3330 S Lancaster Rd
Dallas, TX 75216-4531
Phone
(214) 371-6639
Fax
(214) 372-6199
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 225319 TX Primary

Addresses

Primary practice location

3330 S Lancaster Rd
Dallas, TX 75216-4531

Mailing address

1380 River Bend Dr
Dallas, TX 75247-4914
Phone (214) 743-6159

Other identifiers 2

IdentifierTypeStateIssuer
P00153941OtherTXRAILROAD MEDICARE
8N7918OtherTXBCBS OF TEXAS

Other names 1

  • Carol L Starr Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817001335 TX Practitioner - Nurse Practitioner 4981677960 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22531TXMDPharmacist
225319TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Regional Mental Health Mental Retardation Center CurrentSince May 24, 2010 Accepting new patients
Peter F Gray MD PA Past Accepting new patients
Suzanne E Monday MD Family Past Accepting new patients

Locations

4200 Stuart St
Greenville, TX 75401
Phone (903) 454-0300

1300 W 16th St
Mt Pleasant, TX 75455
Phone (972) 524-4159

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1740283076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474914",
            "telephone_number": "214-743-6159",
            "fax_number": "214-689-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752164531",
            "telephone_number": "214-371-6639",
            "fax_number": "214-372-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "225319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00153941",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8N7918",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "STARR",
            "middle_name": "L",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.