COLLIN STARK
NPI 1992409031
Student in an Organized Health Care Education/Training Program in Louisville, KY
About Collin Stark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLIN STARK (NPI 1992409031) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Collin Stark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Collin Stark's NPI number?
The NPI number for Collin Stark is 1992409031. It was assigned to this individual provider in the NPPES registry on March 30, 2023.
Where is Collin Stark located?
Collin Stark practices at 500 S Preston St, Louisville, KY 40202. The listed phone number is (502) 852-5193.
What is Collin Stark's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Collin Stark enrolled in Medicare?
Yes. Collin Stark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Collin Stark was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Collin Stark · NPI 1992409031
Student in an Organized Health Care Education/Training Program provider in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since March 30, 2023.
## Identity
- **NPI:** 1992409031 (Entity type: Individual)
- **Enumerated:** March 30, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 500 S PRESTON ST, Louisville, KY 40202-1702
- **Phone:** (502) 852-5193
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1992409031) · Data from the CMS NPPES public registry.