Active NPI
Dana Lauren Stewart, NP
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1265218879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95025963
- Practice address
- 12919 Montana Ave Apt 103
Los Angeles, CA 90049-4843 - Phone
- (678) 492-8470
- NPI assigned
- Sep 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95025963 | CA | Primary |
Addresses
Primary practice location
12919 Montana Ave Apt 103
Los Angeles, CA 90049-4843
Mailing address
12919 Montana Ave Apt 103
Los Angeles, CA 90049-4843
Phone (678) 492-8470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95025963 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1265218879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12919 MONTANA AVE APT 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900494843",
"telephone_number": "678-492-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12919 MONTANA AVE APT 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900494843",
"telephone_number": "678-492-8470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "DANA",
"middle_name": "LAUREN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95025963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.