MISS KITA STOVALL


Address: 12021 Wilmington Ave, Los Angeles, CA 90059
Phone: 5622954617

MISS KITA STOVALL (NPI# 1043677289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043677289
Entity Type Individual
Full Name MISS KITA STOVALL
Practice Address 12021 Wilmington Ave
Los Angeles
CA 90059
Mailing Address 5957 W 75th St
Los Angeles
CA 90045-1609
Practice Telephone 5622954617
Mailing Telephone 3105670037
Enumeration Date 2016-01-19
Last Update Date 2018-06-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
586627 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12021 WILMINGTON AVE
City LOS ANGELES
State CA
Zip Code 90059

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750351300 Gangadarshni Chandramohan Pediatrics 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2006-01-25
1639704323 Martin Luther King Jr Community Medical Group-wilmington Ave Case Manager/Care Coordinator 12021 Wilmington Ave, Building 11, Suite 1000, Los Angeles, CA 90059 2020-03-03
1114418928 Exodus Recovery, Inc. Community/Behavioral Health 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2018-05-29
1043759855 Los Angeles County Department of Mental Health Clinic/Center 12021 Wilmington Ave, Los Angeles, CA 90059 2017-02-14
1053855064 Maria Casarez-romero Rehabilitation Practitioner 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2016-12-09
1295279453 Kelsey Collins Marriage & Family Therapist 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2016-12-07
1639628035 Stella Cuomo Student in an Organized Health Care Education/Training Program 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2016-09-26
1821443995 Patanya Matthews Counselor 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2016-04-26
1417314741 Noele Le Flore Nurse Practitioner 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2016-01-18
1659757672 Sharon Vaughn Social Worker 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2015-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235759788 Juan Jimenez Jr. Technician, Pathology 1860 E 120th St, Los Angeles, CA 90059 2020-04-24
1538717780 Donald O Nwanze Pharmacist Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 2019-08-30
1295391050 Sheela Hoyle Counselor 836 East Saucer Lane, Los Angeles, CA 90059 2019-05-16
1750852471 Carlos Tovar Sr. Community Health Worker 1720 E 120st, Los Angeles, CA 90059 2018-12-06
1699293910 Amy Caryn Bolenbaugh Recreation Therapist 1720 E 120th Street, Los Angeles, CA 90059 2017-09-07
1417475757 Scott Lee Jones Recreation Therapist Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 2017-09-07
1881118859 Darlene Renee Tillman Speech-Language Pathologist 1670 E 120th Strret, Los Angeles, CA 90059 2017-08-01
1609306430 Valda Therese Flores Registered Nurse 1670 E. 120th Street, Los Angeles, CA 90059 2017-06-14
1093244006 Bongsill Chung Registered Nurse 1670 East 120th St, Los Angeles, CA 90059 2017-06-05
1730573395 Apollonia Godoy Registered Nurse 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 2015-03-22
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750994323 Gina Ameri Nurse Practitioner 10968 Rose Ave Apt 6, Los Angeles, CA 90034-5329 2020-08-24
1689203093 Farooque Azam Nurse Practitioner 1654 Middleton Pl, Los Angeles, CA 90062-1033 2020-04-07
1336600410 Karen Meske Nurse Practitioner 4295 Via Arbolada Unit 106, Los Angeles, CA 90042-5105 2019-03-29
1356822142 Together Psychiatric Nurse Practitioner and Associates, A Nursing Corp Nurse Practitioner 3030 W Olympic Blvd Ste 217, Los Angeles, CA 90006-6507 2018-08-28
1588161129 Louise Thompson Nurse Practitioner 512 S Park View St Apt 408, Los Angeles, CA 90057-2744 2018-04-10
1295248110 Tehila Tanya Abrekov Nurse Practitioner 1539 S Shenandoah St Apt 303, Los Angeles, CA 90035-4479 2017-11-14
1649545328 Dana Lynn Lambrose Nurse Practitioner 1055 Wilshire Blvd Ste 1705, Los Angeles, CA 90017-5600 2012-03-14
1427290030 Gerald M Baltz Nurse Practitioner 8060 Melrose Ave Ste 200, Los Angeles, CA 90046-7037 2009-03-27
1568603256 Jordan Swiskow Nurse Practitioner 1625 Schrader Blvd # 402, Los Angeles, CA 90028-6213 2009-03-10
1316018591 Sharon Collette Mcdaniel Nurse Practitioner 550 S Vermont Ave Ste 601, Los Angeles, CA 90020-1912 2006-11-10
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Competitor

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City LOS ANGELES
Zip Code 90059

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Dataset Information

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.

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