Ashley Stack, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

1897 Issued in NU

Practice address

1926 10TH Ave N
Lake Worth, FL 33461-3369

Phone

(561) 540-4458

Fax

(561) 540-5939

NPI assigned

Jan 5, 2010

Last updated

Jan 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1689904195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 NOVA DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 10TH AVE N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613369",
            "telephone_number": "561-540-4458",
            "fax_number": "561-540-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK",
        "first_name": "ASHLEY",
        "credential": "CNIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": "1897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Gerald Sprung
• Chrismene St Jean
• Candice St John
• Maudelaine St Laurent Basile
• Josette St. Hilaire Georges
• Jenna Stampler
• Robert Stanton, DPT
• Hope Starkman, MD
• Stay'N Alive, Inc.
• Jason Paul Stein, MD

• Electroneurodiagnostic Specialist/Technologist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Electroneurodiagnostic Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.