Jenny Louise Stout, MS, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1292-154 Issued in WI

Practice address

809 Jamesway Dr
Watertown, WI 53098-1701

Phone

(920) 988-3061

NPI assigned

Apr 27, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Achieve Solutions, Inc.

  • Physical Therapist
  • Holmen, WI
  • NPI 1346329869

  Speech-Language Pathologist

  Medicare reassignment NPD
• Fox Rehabilitation Services Wi LLC

  • Physical Therapist
  • Milwaukee, WI
  • NPI 1518483973

  Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1209254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209254400000",
    "number": "1194990523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 JAMESWAY DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530981701",
            "telephone_number": "920-988-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 JAMESWAY DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530981701",
            "telephone_number": "920-988-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "JENNY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-27",
        "last_updated": "2008-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1292-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42744100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stein Optical Inc
• Debra A. Stempinski, RN
• Dennis Ray Sterwald, CADC III
• Renee Sterwalt, N/A REGISTRY320145
• Jillian Stevens
• Stramara Chiropractic, S.C.
• Samuel John Stramara, DC
• Alexis Souksavath Strese, RN
• Sherry Ann Strupp, PT
• David F Stuebe, PT

• Speech-Language Pathologist in Watertown, WI
• Providers in Watertown, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.