Christina E Stout, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP07951 Issued in OH

Practice address

1739 Cleveland Rd
Wooster, OH 44691-2203

Phone

(330) 262-2500

Fax

(330) 264-8713

NPI assigned

Dec 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Geriatric Nurse Practitioners, Inc.

  • Nurse Practitioner
  • Akron, OH
  • NPI 1427008200
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1083691851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912203",
            "telephone_number": "330-262-2500",
            "fax_number": "330-264-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912203",
            "telephone_number": "330-262-2500",
            "fax_number": "330-264-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "CHRISTINA",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP07951",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "NP07951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2524432",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cstout229254@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "Third Street Community Clinic, Inc.",
            "address_1": "600 West Third Street",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449062633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jasmyn Stoneman, MSW, LSW
• Natalee Louise Stoner, MS, LSW, IMFT
• Aliceson J Stoudmire
• Isaac Stoudmire
• Melissa J Stoudmire
• Kristen Stout
• Jessica Elaine Straits, MSW, LISW
• Dontia Streeter
• Debra Strickler
• Steven Paul Strnad, ACA

• Psychiatric/Mental Health Nurse Practitioner in Wooster, OH
• Providers in Wooster, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.