Individual provider Active NPI

Daphenia C. Knight Starling, ANP

  • Adult Health Nurse Practitioner
  • Clinton, MS
National Provider Identifier
1922394469
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R718319 Issued in MS
Practice address
Clinton Healthcare
1251 Pinehaven Rd
Clinton, MS 39056
Phone
(601) 206-0901
Fax
(888) 240-6288
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R718319 MS Primary

Addresses

Primary practice location

Clinton Healthcare
1251 Pinehaven Rd
Clinton, MS 39056

Mailing address

200 Amity LN
Brandon, MS 39047-7941
Phone (601) 206-0901

Other practice location 1

Nichols Center
1308 Highway 51
Madison, MS 39110
Phone (601) 206-0901

Other practice location 2

The Arbor
600 South Pear Orchard Rd
Rdigeland, MS 39157
Phone (601) 206-0901

Other identifiers 1

IdentifierTypeStateIssuer
02052873MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110824000321 MS Practitioner - Nurse Practitioner 5890965107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medserve, PAGroup PAC ID 8628253978, 7 clinicians
Medical Systems Management, LLCGroup PAC ID 5092964643, 49 clinicians

Practice addresses (Care Compare)

1251 Pinehaven Rd
Clinton, MS 39056-3455
Phone (601) 206-0901

129 Ctr St
Suite B
Richland, MS 39218-4800
Phone (769) 233-7141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R718319MSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medserve, PA CurrentSince Jul 15, 2011 Accepting new patients

Locations

1251 Pinehaven Rd
Clinton, MS 39056
Phone (601) 924-2996

310 Emerald Dr
Columbus, MS 39702
Phone (662) 244-8823

4540 Manhattan Rd
Jackson, MS 39206
Phone (601) 982-5505

1308 Highway 51
Madison, MS 39110
Phone (601) 853-4343

Organizations & group practices 2

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1922394469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AMITY LN",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477941",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINTON HEALTHCARE",
            "address_2": "1251 PINEHAVEN RD",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "39056",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Nichols Center",
            "address_2": "1308 Highway 51",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "39110",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "The Arbor",
            "address_2": "600 South Pear Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Rdigeland",
            "state": "MS",
            "postal_code": "39157",
            "country_code": "US",
            "telephone_number": "601-206-0901",
            "fax_number": "888-240-6288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT STARLING",
        "first_name": "DAPHENIA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "R718319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02052873",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

Verify at the official NPI Registry.