Individual provider Active NPI

Starr Villavasso, D.C.

  • Chiropractor
  • Slidell, LA
National Provider Identifier
1780560862
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO11366 Issued in GA
Practice address
1300 Gause Blvd Ste C7
Slidell, LA 70458-3041
Phone
(601) 749-4939
NPI assigned
Aug 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2061 LA
Chiropractor 111N00000X CHIRO11366 GA Primary

Addresses

Primary practice location

1300 Gause Blvd Ste C7
Slidell, LA 70458-3041

Mailing address

PO Box 326
Picayune, MS 39466-0326
Phone (601) 749-4939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210001406 LA Practitioner - Chiropractic 8426537499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 326
Picayune, MS 39466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO11366GAMDChiropractor
2061LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Chiropractic Clinic LLC Chiropractor CurrentSince Jan 3, 2026 Accepting new patients

Locations

1300 Gause Blvd
Ste C7
Slidell, LA 70458
Phone (601) 749-4939

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1780560862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394660326",
            "telephone_number": "601-749-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 GAUSE BLVD STE C7",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583041",
            "telephone_number": "601-749-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAVASSO",
        "first_name": "STARR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "2061",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO11366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.