Individual provider Active NPI

Raven Melina Starr, MS, RN, AACNS-AG

  • Gerontology Clinical Nurse Specialist
  • Aurora, CO
National Provider Identifier
1922345248
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
APN.0992674-CNS Issued in CO
Practice address
13199 E Montview Blvd
Suite 400
Aurora, CO 80045-7202
Phone
(303) 724-8207
NPI assigned
Jan 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 0193214 CO
Home Health Registered Nurse 163WH0200X 0193214 CO
Wound Care Registered Nurse 163WW0000X 0193214 CO
Gerontology Clinical Nurse Specialist 364SG0600X APN.0992674-CNS CO Primary

Addresses

Primary practice location

13199 E Montview Blvd
Suite 400
Aurora, CO 80045-7202

Mailing address

13199 E Montview Blvd
Suite 400
Aurora, CO 80045-7202
Phone (303) 724-8207

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
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0193214COMDWound Care Registered Nurse
APN.0992674-CNSCOMDGerontology Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1922345248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13199 E MONTVIEW BLVD",
            "address_2": "SUITE 400",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457202",
            "telephone_number": "303-724-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13199 E MONTVIEW BLVD",
            "address_2": "SUITE 400",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457202",
            "telephone_number": "303-724-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "RAVEN",
        "middle_name": "MELINA",
        "credential": "MS, RN, AACNS-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CO",
            "license": "0193214",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CO",
            "license": "0193214",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CO",
            "license": "0193214",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "CO",
            "license": "APN.0992674-CNS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.