North Star Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NORTH STAR CLINIC LLC

Practice address

2120 Lawrence St
Port Townsend, WA 98368-7925

Phone

(360) 531-3989

Fax

(360) 344-8411

NPI assigned

Oct 24, 2019

Organization subpart

No

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

Authorized official

Name

Mr. James Clayton Blair III, PA-CNPI 1447202585

Title

Manager

Phone

(360) 531-3989

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Clayton Blair III, PA-C

  • Physician Assistant
  • Port Townsend, WA
  • NPI 1447202585
  Medicare reassignment Care Compare group Authorized official
• John A Kremer II, M.D.

  • Family Medicine Physician
  • Chelan, WA
  • NPI 1407829435
  Medicare reassignment Care Compare group NPD
• Katherine T Ottaway, M.D.

  • Family Medicine Physician
  • Staunton, VA
  • NPI 1215988951

  WA

  Medicare reassignment NPD
• Chase Dropp, PA-C

  • Physician Assistant
  • Puyallup, WA
  • NPI 1538974647
  Medicare reassignment
• Ty Daley, BA

  • Student in an Organized Health Care Education/Training Program
  • Philadelphia, PA
  • NPI 1871864900
  NPD

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1740823566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983680315",
            "telephone_number": "360-531-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 LAWRENCE ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983687925",
            "telephone_number": "360-531-3989",
            "fax_number": "360-344-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-531-3989",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Christine Nock, LMHC
• Noeud de Papillon
• Noeud de Papillon LTD
• Annette Nicole Norbisrath
• North Sound Midwifery
• Northwest HC Seaport Landing Wa Operator NT-Hci LLC
• Polly Bess Norton, L.M.P.
• Nourishing Life
• Nourishing Life Chinese Medicine Clinic LLC
• Barry Dean Nutter, DMD

• Primary Care Clinic/Center in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.