STAR HEALTHCARE REGISTRY (NPI# 1942565627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942565627 |
| Entity Type | Organization |
| Organization Name | STAR HEALTHCARE REGISTRY |
| Practice Address |
113 Maxwell Cv Terry MS 39170-9514 |
| Mailing Address |
Po Box 13993 Jackson MS 39236-3993 |
| Practice Telephone | 6019184669 |
| Mailing Telephone | 6019184669 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |
| Authorized Official Name | VALERIA SIMS (OWNER/DIRECTOR) |
| Authorized Official Telephone | 6019184669 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | P320903 | MS | Nursing Service Providers |
| Street Address |
113 MAXWELL CV |
| City | TERRY |
| State | MS |
| Zip Code | 39170-9514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043851595 | Barbara Sharp | Technician | 2260 Greengable Rd, Terry, MS 39170 | 2019-10-07 |
| 1356904171 | Hope Healthcare Agency, LLC | In Home Supportive Care | 13252 I-55 South Frontage Road, Terry, MS 39170 | 2019-04-17 |
| 1093120602 | Fideltyhealthcare | Home Health | 127 Garett Drive, Terry, MS 39170 | 2014-06-23 |
| 1104258912 | Freds Stores of Tennessee Inc | Pharmacy | 422 W. Cunningham Ave, Terry, MS 39170 | 2013-08-02 |
| 1083795561 | Terry Discount Drugs | Durable Medical Equipment & Medical Supplies | 128 Cunningham St, Terry, MS 39170 | 2006-10-18 |
| 1164537197 | Terry Discount Drugs | Pharmacy | 128 Cunningham Ave, Terry, MS 39170-0037 | 2006-08-20 |
| 1063629376 | Terry Family Medical Clinic | Nurse Practitioner | 120 W Raymond Street, Terry, MS 39170-0970 | 2007-05-17 |
| 1477650869 | Gloria O Areghan | Nurse Practitioner | 120 W. Raymond Street, Terry, MS 39170-0970 | 2006-09-20 |
| 1720488968 | Kristi Richards | Physical Therapy Assistant | 316 Lakeover Pl, Terry, MS 39170-4407 | 2014-08-25 |
| 1467797001 | Whitney William Healthcare, LLC | Internal Medicine | 1290 Caroline Dr, Terry, MS 39170-5000 | 2012-12-08 |
| Find all providers in zip 39170 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932470747 | Above Average Healthcare | Licensed Practical Nurse | 1280 Old Jackson Rd, Terry, MS 39170-7287 | 2012-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568757 | Iman A Reed | Licensed Practical Nurse | 8 Ashbury Pl, Columbia, MS 39429-3729 | 2020-11-04 |
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1083232250 | Remco Leidelmeijer | Licensed Practical Nurse | 54 Windance Dr, Carriere, MS 39426-7947 | 2020-07-14 |
| 1033733951 | Bonita T Roby | Licensed Practical Nurse | 1762 Eddisville Rd, Durant, MS 39063-2910 | 2020-06-05 |
| 1760011084 | Felicia Taylor | Licensed Practical Nurse | 1125 William Warren Rd, Collins, MS 39428-5692 | 2020-04-07 |
| 1003450321 | Donna Robinson | Licensed Practical Nurse | 70203 Royal Ct, Brandon, MS 39042-2930 | 2019-10-30 |
| 1093358202 | Alexesia S. Williams | Licensed Practical Nurse | 48 Charleston Way, Hattiesburg, MS 39402-8296 | 2019-10-21 |
| 1487212585 | Lesia Denise Gipson | Licensed Practical Nurse | 375a Love Cv, Brandon, MS 39042-8320 | 2019-06-03 |
| 1265995740 | Sandra Ferrill | Licensed Practical Nurse | 8321 Amoka Dr, Diamondhead, MS 39525-4060 | 2019-04-10 |
| 1821551946 | Mark Dewayne Bridgfes | Licensed Practical Nurse | 11 Sims Thornhill Rd, Tylertown, MS 39667-6104 | 2019-04-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.