LORI LYNN BAST (NPI# 1649602061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649602061 |
| Entity Type | Individual |
| Full Name | LORI LYNN BAST |
| Other Name | LORI LYNN MCDONAGH |
| Credential | RN |
| Practice Address |
1450 Leonard St Ne Grand Rapids MI 49505-5515 |
| Practice Telephone | 6167748789 |
| Practice Fax Number | 6167761305 |
| Mailing Telephone | 6167748789 |
| Mailing Fax Number | 6167761305 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
4704294077 | MI | Nursing Service Providers |
| Street Address |
1450 LEONARD ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184789737 | Joseph L Gage | Psychologist | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2006-12-26 |
| 1487254223 | Tara Lynn Rockey | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2020-10-30 |
| 1821639568 | Jessica Bryan Vargas | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2019-10-03 |
| 1720571045 | Lauren Janness | Occupational Therapist | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2018-06-12 |
| 1497261291 | Jacquelyn Suzann Davis-dudka | Registered Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2017-12-17 |
| 1235651613 | Minnie Shinal | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505 | 2017-07-07 |
| 1972960060 | William G Martin | Registered Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2016-01-21 |
| 1093189219 | Carol Richards | Custodial Care Facility | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2015-11-26 |
| 1598168262 | Danielle Gregory | Case Manager/Care Coordinator | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2014-10-08 |
| 1073930848 | Tiocka Bentley | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2014-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568906832 | Terri M Adams | Registered Nurse | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2016-12-06 |
| 1366992612 | Jennifer L Nauta | Registered Nurse | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2016-10-11 |
| 1396092367 | Jill M Huizinga | Registered Nurse | 1471 Grace St Se, Grand Rapids, MI 49506-1678 | 2012-08-09 |
| 1407103732 | Joellen Shangraw | Registered Nurse | 1471 Grace St Se, Grand Rapids, MI 49506-1678 | 2012-08-06 |
| 1649526880 | Thomas M Muszynski Sr. | Registered Nurse | 1471 Grace St Se, Grand Rapids, MI 49506-1678 | 2012-07-25 |
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|---|---|---|---|---|
| 1427669969 | K & M Medical & Catastrophic Management, LLC | Registered Nurse | 3005 E 11 Mile Rd, Warren, MI 48092-3523 | 2020-08-10 |
| 1194347211 | Martin James Leonard | Registered Nurse | 3067 Beach Lake Dr E, Milford, MI 48380-2864 | 2020-05-12 |
| 1104460971 | Lovingprivatecare71 LLC | Registered Nurse | 24020 Sunnypoint Dr, Southfield, MI 48033-2907 | 2019-11-04 |
| 1497217822 | James Henry Wood | Registered Nurse | 50 W Big Beaver Rd Ste 90, Bloomfield Hills, MI 48304-3910 | 2019-04-04 |
| 1295207991 | Jacqueline Hodges | Registered Nurse | 15404 Ilene St, Detroit, MI 48238-1042 | 2018-12-19 |
| 1396211702 | Julius Militante | Registered Nurse | 3101 Vineyard Ln, Flushing, MI 48433-2435 | 2018-10-23 |
| 1992293567 | Kathleen Drew | Registered Nurse | 24801 5 Mile Rd Ste 7, Redford, MI 48239-3653 | 2018-04-28 |
| 1033622667 | Julie Ann Bise | Registered Nurse | 10555 Enterprise Dr Ste 314, Davisburg, MI 48350-1338 | 2017-11-06 |
| 1376054262 | Carrie Allan | Registered Nurse | 39067 Salem Dr, Clinton Township, MI 48038-2857 | 2017-10-18 |
| 1942733050 | Jennifer Bartkowiak-wise | Registered Nurse | 4320 N 11 Mile Rd, Pinconning, MI 48650-7976 | 2017-04-05 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on LORI LYNN BAST.
| 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.