Five-Star Integrated Health Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FIVE-STAR INTEGRATED HEALTH SERVICES, LLC

Practice address

1125 West St Ste 235
Annapolis, MD 21401-4198

Phone

(667) 204-0614

NPI assigned

Aug 5, 2020

Last updated

Sep 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tamia Rollins-MusgraveNPI 1881962322

Title

Owner

Phone

(667) 720-0614

Specialties & licenses 5

Addresses

Tax ID family

Five-Star Integrated Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Five-Star Integrated Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Annapolis, MD
  • NPI 1124596606
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tamia Rollins-Musgrave, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Annapolis, MD
  • NPI 1881962322

  Family

  NPD Authorized official

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1750991709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 WEST ST STE 235",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 WEST ST STE 235",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014198",
            "telephone_number": "667-204-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE-STAR INTEGRATED HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "ROLLINS-MUSGRAVE",
        "authorized_official_first_name": "TAMIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "667-720-0614"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fitness Forum of Maryland, LLC
• Joann Walker Fitzell, RN
• Julia Elizabeth Fitzer, AU.D.
• Lauren Minor Fitzpatrick, M.D.
• Five-Star Integrated Health Services, LLC
• FJLJ, LLC
• Flagship Rehabilitation, Inc
• Lori Kelly Flaherty, RN
• Megan Flahive
• Elizabeth Flanigan, OT

• Psychiatric/Mental Health Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.