STACEY MARIE BAST
NPI 1578105367
Licensed Practical Nurse in Edwardsville, IL

Active since October 13, 2019
223 GARDEN ST, EDWARDSVILLE, IL 62025(314) 420-9576 Get Directions Write a Review

NPPES record last updated: October 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Marie Bast NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY MARIE BAST (NPI 1578105367) is an individual licensed practical nurse in Edwardsville, Illinois, licensed in Illinois (043-087181) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1578105367
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSTACEY MARIE BAST
Location Address223 GARDEN STEdwardsville, IL 62025-1974
Mailing Address153 Chester StChester, IL 62233-1755 · (618) 559-3482
Sole ProprietorYes
Enumeration DateOctober 13, 2019
NPI 1578105367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in IL · 043-087181
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
223 GARDEN ST, Edwardsville, IL 62025

Other Names 1

Professional Name (2)Stacey Marie Coffey Lpn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Bast's NPI number?

The NPI number for Stacey Bast is 1578105367. It was assigned to this individual provider in the NPPES registry on October 13, 2019. The provider is also known as Stacey Marie Coffey Lpn.

Where is Stacey Bast located?

Stacey Bast practices at 223 Garden St, Edwardsville, IL 62025. The listed phone number is (314) 420-9576.

What is Stacey Bast's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stacey Bast was last updated on October 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.