NPIMap

Organization Active NPI

Starbuck Medical LLC

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1770255200
Registry record updated Oct 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
STARBUCK MEDICAL LLC
Practice address
11900 N Macarthur Suite F7
Oklahoma City, OK 73162
Phone
(580) 977-8802
NPI assigned
Oct 3, 2021
Last updated
Oct 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2021

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

Authorized official

Name
Crystal Rae Starbuck, APRN-CNP
Title
Owner, Member, Manager
Phone
(580) 977-8802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

11900 N Macarthur Suite F7
Oklahoma City, OK 73162

Mailing address

8341 Wolf Lake Drive
Piedmont, OK 73078
Phone (580) 977-8802

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1633219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633219200000",
    "number": "1770255200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8341 WOLF LAKE DRIVE",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "73078",
            "telephone_number": "580-977-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 N MACARTHUR SUITE F7",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73162",
            "telephone_number": "580-977-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBUCK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-03",
        "last_updated": "2021-10-03",
        "certification_date": "2021-10-03",
        "status": "A",
        "authorized_official_last_name": "STARBUCK",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER, MEMBER, MANAGER",
        "authorized_official_telephone_number": "580-977-8802",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2021; 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.