Tesa Lindstrom Stark, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1290 Issued in HI

Practice address

1887 Makuakane St
Medical Services-Hale Ola
Honolulu, HI 96817-1800

Phone

(808) 842-8075

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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

• Kathleen Stinson,MD, P.a.

  • Pediatrics Physician
  • Dripping Springs, TX
  • NPI 1134143670
  NPD (past)
• Little Spurs Pediatric Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1780673319
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1740296995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 MAKUAKANE ST",
            "address_2": "MEDICAL SERVICES-HALE OLA",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171800",
            "telephone_number": "808-842-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 MAKUAKANE ST",
            "address_2": "MEDICAL SERVICES-HALE OLA",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171800",
            "telephone_number": "808-842-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "TESA",
        "middle_name": "LINDSTROM",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "648059",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "HI",
            "license": "1290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikeal Stansbury
• Marie Chiyo Staples
• Star Home Care LLC
• Jessica Stark, BCBA
• Mariailiana J Stark, DRPH, RN,APRN,CPNP
• Janelle Inkyong Shimooka Starmer, LCSW, CSAC
• Michael Starr
• Gloria Stasik, DAC
• Stat Medical, Inc.
• Stat Partners LLC

• Pediatric Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pediatric Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.