The Shooting Stars Program

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

THE SHOOTING STARS PROGRAM

Practice address

152 US Route 1
4
Scarborough, ME 04074-8365

Phone

(207) 883-5882

NPI assigned

May 26, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Ruth Hughes, M.ED.

Title

Director

Phone

(207) 883-5882

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1740415488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HIGH POINT RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749027",
            "telephone_number": "207-883-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 US ROUTE 1",
            "address_2": "4",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748365",
            "telephone_number": "207-883-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHOOTING STARS PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-883-5882",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE IDENTIFICATION NUMBER",
            "identifier": "217310000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Taylor
• John Michael Tedesco, MD
• Teledentalassistance
• Edward J Teufel, M.D.
• Todd Thauer
• Sean Thomas, MSW, CADC
• Susan Stokes Thompson Brown, MPT
• Jamie Lynn Thompson, PA-C
• Bridget N Thornton, LCSW
• Tracy Lyn Tischler, RPA-C

• Specialist in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.