Active NPI
Sandra Starr, APN, BC-FNP
- Psychiatric/Mental Health Nurse Practitioner
- Milan, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN0000011752
- Practice address
- 4039 Highland St
Suite 2
Milan, TN 38358-3483 - Phone
- (731) 723-1327
- Fax
- (731) 723-1339
- NPI assigned
- Apr 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000011752 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN0000011752 | TN | Primary |
Addresses
Primary practice location
4039 Highland St
Suite 2
Milan, TN 38358-3483
Mailing address
238 Summar Dr
Jackson, TN 38301-3906
Phone (731) 927-7628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080620000254 | TN | Practitioner - Nurse Practitioner | 7517038425 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pathways of Tennessee Inc
Practice addresses (Care Compare)
223 S Court St
Tiptonville, TN 38079-1305
Phone (731) 253-7780
238 Summar Dr
Jackson, TN 38301-3906
Phone (731) 541-8270
Hospital & facility affiliations
- Jackson-Madison County General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000011752 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Pathways of Tennessee, Inc. | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Primecare Clinic, PLLC | Past | Accepting new patients |
Locations
622 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 658-2120
1120 Tammbell St
Brownsville, TN 38012
Phone (731) 541-8344
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
1720 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 285-1393
1804 Highway 45 Byp
Ste 216
Jackson, TN 38305
Phone (731) 664-6327
1270 Union University Dr
Ste D
Jackson, TN 38305
Phone (731) 265-6450
238 Summar Dr
Jackson, TN 38301
Phone (731) 541-8200
33 Directors Row
Ste A
Jackson, TN 38305
Phone (731) 541-7605
129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999
9550 Highway 412 W
Ste B
Lexington, TN 38351
Phone (731) 968-8197
4039 Highland St
Ste 2
Milan, TN 38358
Phone (731) 723-1327
4039 Highland St
Milan, TN 38358
Phone (731) 660-8755
301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220
223 S Court St
Tiptonville, TN 38079
Phone (731) 253-7780
930 Mount Zion Rd
Union City, TN 38261
Phone (731) 885-9333
Organizations & group practices 7
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.
-
- Psychiatric Hospital
- Jackson, TN
- NPI 1780789115
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- Family Medicine Physician
- Bolivar, TN
- NPI 1194940452
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507766400000",
"number": "1831363894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013906",
"telephone_number": "731-927-7628",
"fax_number": "731-927-7642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4039 HIGHLAND ST",
"address_2": "SUITE 2",
"city": "MILAN",
"state": "TN",
"postal_code": "383583483",
"telephone_number": "731-723-1327",
"fax_number": "731-723-1339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARR",
"first_name": "SANDRA",
"credential": "APN, BC-FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-21",
"last_updated": "2017-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000011752",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "APN0000011752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milan, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.