Individual provider Active NPI

Starla C'Leste Wisdom-Allen, RN

  • Registered Nurse
  • Sells, AZ
National Provider Identifier
1942953930
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1139328 Issued in KY
Practice address
Az-86
Sells, AZ 85634
Phone
(520) 383-7200
NPI assigned
Jan 31, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1139328 KY Primary

Addresses

Primary practice location

Az-86
Sells, AZ 85634

Mailing address

2386 S Saint Thomas Aquinas Dr
Tucson, AZ 85713-7420
Phone (821) 305-4714

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Starla.Wisdom@tonation-nsn.gov

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1139328KYMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: starla.wisdom@tonation-nsn.gov

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1942953930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 S SAINT THOMAS AQUINAS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857137420",
            "telephone_number": "821-305-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AZ-86",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "85634",
            "telephone_number": "520-383-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDOM-ALLEN",
        "first_name": "STARLA",
        "middle_name": "C'LESTE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1139328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Starla.Wisdom@tonation-nsn.gov",
            "affiliation": "N",
            "address_1": "AZ-86",
            "city": "Sells",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sells, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.