MS. LYNDA BASILE STACK (NPI# 1659405306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659405306 |
| Entity Type | Individual |
| Full Name | MS. LYNDA BASILE STACK |
| Other Name | LYNDA BASILE STACK |
| Credential | RN |
| Practice Address |
6043 Hollywood Blvd Los Angeles CA 90028-5411 |
| Mailing Address |
1406 N Benton Way Los Angeles CA 90026-2217 |
| Practice Telephone | 3233371770 |
| Practice Fax Number | 3233371784 |
| Mailing Telephone | 3233954845 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2014-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7723 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6043 HOLLYWOOD BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90028-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982745501 | Nikolaos M Stefanidis | Counselor | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2007-02-08 |
| 1346850534 | Julia S Chan-lopez | Nurse Practitioner | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2020-08-03 |
| 1760018527 | Pediatric and Family Medical Center | Clinic/Center | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2020-03-12 |
| 1164903167 | Brenda Natalie Larios | Registered Nurse | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2018-08-27 |
| 1407344773 | Richelle Hope Legaspi | Registered Nurse | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2018-04-23 |
| 1053860510 | La Donna Faine | Case Manager/Care Coordinator | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2016-09-26 |
| 1508311887 | Rosa Isabel Hidalgo | Student in an Organized Health Care Education/Training Program | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2016-08-17 |
| 1982159257 | Meredith Buchanan | Student in an Organized Health Care Education/Training Program | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2016-08-16 |
| 1437526738 | Michelle Kuranishi | Psychologist | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2015-08-21 |
| 1255708558 | Rebecca Anne Gillogly | Student in an Organized Health Care Education/Training Program | 6043 Hollywood Blvd, Los Angeles, CA 90028-5411 | 2015-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
| 1558993527 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5500 West Sunset Boulevard, Los Angeles, CA 90028 | 2020-02-07 |
| 1639715030 | Michelle Jennifer Martinez | Case Manager/Care Coordinator | 6838 Sunset Blvd., Hollywood, CA 90028 | 2019-11-20 |
| 1821562315 | Ronnie Jerome Jackson | Case Manager/Care Coordinator | Bhs Hollywood Recovery Center, 6838 Sunset Blvd, Hollywood, CA 90028 | 2019-01-17 |
| 1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
| 1982124772 | Yoon Kyung Lee | Pharmacist | 7201 Hollywood Blvd, Los Angeles, CA 90028 | 2017-06-22 |
| 1982133245 | Julia West | Pharmacist | 6201 Hollywood Blvd #126, Los Angeles, CA 90028 | 2017-06-08 |
| 1720527971 | Melissa Susac | Marriage & Family Therapist | 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028 | 2017-02-21 |
| 1023554284 | Arlene Aranda | Social Worker | 1873 Taft Ave, Los Angeles, CA 90028 | 2017-01-12 |
| 1912304775 | Damon Dodge | Marriage & Family Therapist | 7083 Hollywood Blvd, Los Angeles, CA 90028 | 2014-11-21 |
| Find all providers in zip 90028 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1528672110 | Christopher Tria Coronel | Nurse Practitioner | 3435 Garden Ave, Los Angeles, CA 90039-1919 | 2020-09-01 |
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1548884216 | En Route Medical Staffing LLC | Nurse Practitioner | 3705 W Pico Blvd Ste 1714, Los Angeles, CA 90019-3451 | 2020-05-29 |
| 1922621432 | Latasha Tracy Warren | Nurse Practitioner | 1720 N Fuller Ave Apt 450, Los Angeles, CA 90046-3076 | 2020-05-19 |
| 1578184966 | Shin Il Kim | Nurse Practitioner | 450 Bauchet St Fl 8, Los Angeles, CA 90012-2907 | 2020-04-27 |
| 1457971160 | Karen Kim-chang | Nurse Practitioner | 450 Bauchet St Rm E815, Los Angeles, CA 90012-2907 | 2020-04-22 |
| 1912534033 | Anthony Felipe Banuelos Villa | Nurse Practitioner | 3437 Ellison St, Los Angeles, CA 90063-1901 | 2020-03-26 |
| 1629605506 | Ana Yely Nunez Nunez | Nurse Practitioner | 6017 Miramonte Blvd, Los Angeles, CA 90001-1327 | 2020-03-23 |
| 1154957769 | Maybel Deguzman Dumlao | Nurse Practitioner | 4371 Stewart Ave, Los Angeles, CA 90066-6133 | 2020-03-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90028 |
Please comment or provide details below to improve the information on MS. LYNDA BASILE STACK.
| 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.