Traci Stout, RN BSN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN60061565 Issued in WA

Practice address

171 Wishpoosh Rd
Toppenish, WA 98948

Phone

(509) 865-7965

Fax

(509) 865-2195

NPI assigned

Jul 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1265849566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 WISHPOOSH RD",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "98948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 WISHPOOSH RD",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "98948",
            "telephone_number": "509-865-7965",
            "fax_number": "509-865-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "TRACI",
        "name_prefix": "Mrs.",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "RN60061565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Bernadette Stanton, CP 60188518
• Chanelle Lynn Stellwagen, DOH AGENCY AFFILIATE
• Alma Stephas
• Stewards Inpatient Services LLC
• Stewards Inpatient Services LLC
• Nicole Stringer
• Kristoffer Jordan Strom
• Forrest Blue Stwyer, PEER COUNSELOR
• Rory C Sumners, MD
• Sunnyside Community Hospital Association

• Home Health Registered Nurse in Toppenish, WA
• Providers in Toppenish, WA by specialty
• Home Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.