NPIMap

Organization Active NPI

Star Healthcare Registry

  • Licensed Practical Nurse
  • Terry, MS
National Provider Identifier
1942565627
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
P320903 Issued in MS
Legal business name
STAR HEALTHCARE REGISTRY
Practice address
113 Maxwell CV
Terry, MS 39170-9514
Phone
(601) 918-4669
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Valeria SimsNPI 1093146367
Title
Owner/Director
Phone
(601) 918-4669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X P320903 MS Primary

Addresses

Primary practice location

113 Maxwell CV
Terry, MS 39170-9514

Mailing address

PO Box 13993
Jackson, MS 39236-3993
Phone (601) 918-4669

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1942565627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13993",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392363993",
            "telephone_number": "601-918-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAXWELL CV",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391709514",
            "telephone_number": "601-918-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR HEALTHCARE REGISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "VALERIA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "601-918-4669"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "MS",
            "license": "P320903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terry, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.