ADELE STARR (NPI# 1154432110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154432110 |
| Entity Type | Individual |
| Full Name | ADELE STARR |
| Credential | NP |
| Practice Address |
1313 Penn Ave N Minneapolis MN 55411-3047 |
| Practice Telephone | 6125432500 |
| Practice Fax Number | 6123024780 |
| Mailing Telephone | 6125432500 |
| Mailing Fax Number | 6123024870 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R1103676 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 862342200 | 05 |
| Street Address |
1313 PENN AVE N |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55411-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023095627 | Brownell Mack IIi | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2005-12-27 |
| 1831755776 | Maisee Moua-mcdaniel | Dentist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2019-05-16 |
| 1548723364 | Zadok Nampala | Social Worker | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2019-04-09 |
| 1013477348 | Lanette Howze | Community Health Worker | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2019-03-22 |
| 1043792666 | John Gatermann | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2018-08-30 |
| 1346729308 | Safiya Ahmed Abdullahi | Dentist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2018-08-10 |
| 1720576788 | Rachel Marie Freyberger | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2018-04-25 |
| 1902316821 | Vivian Ballah-swaray | Psychologist | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2017-10-05 |
| 1578080537 | Dal Vang Xiong | Registered Nurse | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2017-08-29 |
| 1184164337 | Shakeyla Barber | Dentist | 1313 Penn Ave N, Minneapolis, MN 55411 | 2017-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101483 | Minnesota Mental Health Solutions | Social Worker | 1007 W Broadway Ave Ste 200, Minneapolis, MN 55411 | 2019-09-03 |
| 1154980233 | Access Group Home LLC | Home Health | 1122 Upton Ave N, Minneapolis, MN 55411 | 2019-06-11 |
| 1780036202 | Marcia Karen Powless | Registered Nurse | 2339 River Pointe Lane, Minneapolis, MN 55411 | 2016-07-08 |
| 1104287663 | Abdikarim Abdille | Contractor | 521 Lyn Park Cir N, Minneapolis, MN 55411 | 2016-03-11 |
| 1962801399 | Olu's Center | Clinic/Center | 1315 12th Ave N, Minneapolis, MN 55411 | 2014-08-21 |
| 1689086639 | Claudia Alejandra Patino Gonzalez | Student in an Organized Health Care Education/Training Program | 1020 West Broadway Avenue, Minneapolis, MN 55411 | 2014-05-27 |
| 1306283445 | Advanced Home Care | Home Health | 3000 Logan Ave N, Minneapolis, MN 55411 | 2013-05-30 |
| 1154766525 | Bassim Samadani Birkland | Student in an Organized Health Care Education/Training Program | Broadway Clinic, 1020 West Broadway, Minneapolis, MN 55411 | 2013-04-30 |
| 1720354004 | New Salem Metormorphosis Youth Program | Counselor | 2509 Bryant Ave North, Minneapolis, MN 55411 | 2012-03-30 |
| 1629387469 | Apose | Home Health | 2806 Girard Ave. North, Minneapolis, MN 55411 | 2010-09-28 |
| Find all providers in zip 55411 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942762828 | Jodi Lynn Martin | Nurse Practitioner | 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 | 2019-04-01 |
| 1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
| 1891170593 | Lindsey Smith | Nurse Practitioner | 421 18th Ave N, Minneapolis, MN 55411-3314 | 2015-07-23 |
| 1689068421 | Bridget Flynn | Nurse Practitioner | 6100 11th Ave S, Minneapolis, MN 55417-3208 | 2015-03-18 |
| 1386931178 | Abimbola Adenike Matti | Nurse Practitioner | 732 E Lake St, Pain Relief Center of Minnesota, Minneapolis, MN 55407-1547 | 2011-06-30 |
| 1235421660 | Meghann Rae Cody | Nurse Practitioner | 500 Harvard St Se Unit 7d, Minneapolis, MN 55455-0363 | 2011-05-04 |
| 1710218151 | Sheila Kathleen Smith | Nurse Practitioner | 814 S 3rd St, Minneapolis, MN 55415 | 2010-01-25 |
| 1295926129 | Michelle A Aldrich Rn Cnp Pa | Nurse Practitioner | 4215 31st Ave S, Minneapolis, MN 55406-3311 | 2007-08-06 |
| 1881783801 | Denise Rae Erickson | Nurse Practitioner | One Verans Dr., Minneapolis, MN 55417 | 2006-10-11 |
| 1316972011 | Jean H Lewis | Nurse Practitioner | 1 Veterans Dr Ive 112d, Minneapolis, MN 55417-2309 | 2006-07-11 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55411 |
Please comment or provide details below to improve the information on ADELE STARR.
| 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.