Individual provider Active NPI

Connie R Startt

  • School Registered Nurse
  • Smyrna, DE
National Provider Identifier
1780226811
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
L1-0033402 Issued in DE
Practice address
700 Duck Creek Pkwy
Smyrna, DE 19977-1094
Phone
(302) 653-8823
Fax
(302) 653-3424
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X L1-0033402 DE Primary

Addresses

Primary practice location

700 Duck Creek Pkwy
Smyrna, DE 19977-1094

Mailing address

10788 Bayside Dr
Dover, DE 19901-3011
Phone (302) 734-3828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L1-0033402DEMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1780226811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10788 BAYSIDE DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013011",
            "telephone_number": "302-734-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 DUCK CREEK PKWY",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771094",
            "telephone_number": "302-653-8823",
            "fax_number": "302-653-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARTT",
        "first_name": "CONNIE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "DE",
            "license": "L1-0033402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.