Individual provider Active NPI

Starla Joy Ensslin, MSN, FNP

  • Family Nurse Practitioner
  • Elk Grove, CA
National Provider Identifier
1972368553
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029057 Issued in CA
Practice address
9299 Laguna Springs Dr Ste 110
Elk Grove, CA 95758-7842
Phone
(916) 259-8415
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029057 CA Primary

Addresses

Primary practice location

9299 Laguna Springs Dr Ste 110
Elk Grove, CA 95758-7842

Mailing address

13465 Christensen Rd
Galt, CA 95632-8811
Phone (209) 981-9238

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
95029057CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1972368553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13465 CHRISTENSEN RD",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956328811",
            "telephone_number": "209-981-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 LAGUNA SPRINGS DR STE 110",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587842",
            "telephone_number": "916-259-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSSLIN",
        "first_name": "STARLA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.