Stars and Stripes Healthcare LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

STARS AND STRIPES HEALTHCARE LLC

Practice address

10640 SW Waterway Lane.
Port St.Lucie, FL 34987

Phone

(214) 383-8360

NPI assigned

Apr 24, 2024

Organization subpart

No

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

Authorized official

Name

Dinamarie ChiarenzaNPI 1245908680

Title

Owner/Provider

Phone

(214) 383-8360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dinamarie Chiarenza

  • Nurse Practitioner
  • Stuart, FL
  • NPI 1245908680
  Medicare reassignment NPD Authorized official
• Alexia Anna Pizzarro, FNP-C

  • Nurse Practitioner
  • Port Saint Lucie, FL
  • NPI 1780364935
  Medicare reassignment NPD

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1942056700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10380 SW VILLAGE CENTER DR # 195",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349871931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 SW WATERWAY LANE.",
            "city": "PORT ST.LUCIE",
            "state": "FL",
            "postal_code": "34987",
            "telephone_number": "214-383-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARS AND STRIPES HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "CHIARENZA",
        "authorized_official_first_name": "DINAMARIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "214-383-8360"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.