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FIVE-STAR INTEGRATED HEALTH SERVICES LLC NPI 1124596606


NPI Information

NPI: 1124596606
Provider Name: FIVE-STAR INTEGRATED HEALTH SERVICES, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 21D2175352

Address:
1125 WEST ST
ANNAPOLIS, MD
ZIP 21401
Phone: (667) 204-0614
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FIVE-STAR INTEGRATED HEALTH SERVICES, LLC is a psychiatric/mental health nurse practitioner in Annapolis, MD. FIVE-STAR INTEGRATED HEALTH SERVICES, LLC NPI is 1124596606. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1125 WEST ST
ANNAPOLIS, MD
ZIP 21401-607
Phone: (667) 204-0614

The provider's authorized official is Tamia D Rollins-musgrave .
The authorized official title is Owner and has the following contact phone number (443) 534-3652.

The CLIA number assigned to this NPI record is 21D2175352 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2018 and was last updated on 8/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WP0808XRegistered NursePsychiatric/Mental HealthNo
2207Q00000XFamily MedicineNo
3261QP2300XClinic/CenterPrimary CareNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.