Individual provider Active NPI

Stella Khechumyan, FNP

  • Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1992697940
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F05250111 Issued in CA
Practice address
303 N Glenoaks Blvd Ste 200
Burbank, CA 91502-1118
Phone
(818) 306-7375
NPI assigned
Jul 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F05250111 CA Primary

Addresses

Primary practice location

303 N Glenoaks Blvd Ste 200
Burbank, CA 91502-1118

Mailing address

303 N Glenoaks Blvd Ste 200
Burbank, CA 91502-1118
Phone (818) 306-7375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9720 Wheatland Ave
Shadow Hills, CA 91040-1430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F05250111CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Queen of the Valley Home Health, Inc. PastSince Aug 20, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1992697940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N GLENOAKS BLVD STE 200",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021118",
            "telephone_number": "818-306-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N GLENOAKS BLVD STE 200",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021118",
            "telephone_number": "818-306-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHECHUMYAN",
        "first_name": "STELLA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "F05250111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.