Active NPI
Alisa Lawson Starbuck, RN NNP
- Neonatal Nurse Practitioner
- Winston Salem, NC
National Provider Identifier
1962483297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 930079
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-0001 - Phone
- (336) 713-6498
- Fax
- (336) 713-2242
- NPI assigned
- Nov 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 930079 | NC | Primary |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
1289 Black Mountain Rd
Pilot Mountain, NC 27041-7329
Phone (336) 713-6498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7003640 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Interoperability endpoints
- astarbuck2753296@carolinashealthcaresystem.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1962483297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1289 BLACK MOUNTAIN RD",
"city": "PILOT MOUNTAIN",
"state": "NC",
"postal_code": "270417329",
"telephone_number": "336-713-6498",
"fax_number": "336-713-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-713-6498",
"fax_number": "336-713-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARBUCK",
"first_name": "ALISA",
"middle_name": "LAWSON",
"name_prefix": "Mrs.",
"credential": "RN NNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NC",
"license": "930079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7003640",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.