Interstellar Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

INTERSTELLAR HEALTH LLC

Practice address

980 N Federal Hwy Ste 110
Boca Raton, FL 33432-2704

Phone

(561) 247-1734

NPI assigned

Jun 4, 2022

Organization subpart

No

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

Authorized official

Name

Willine Louis, APRN

Title

Owner

Phone

(954) 604-2227

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1881333094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9374 AEGEAN DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334966681",
            "telephone_number": "561-206-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N FEDERAL HWY STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322704",
            "telephone_number": "561-247-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERSTELLAR HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "LOUIS",
        "authorized_official_first_name": "WILLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-604-2227",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.