Individual provider Active NPI

Brenda M Stoudt, ARNP

  • Primary Care Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1295996494
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP30007859 Issued in WA
Practice address
1717 W Francis Ave Ste 104
Spokane, WA 99205-6858
Phone
(509) 230-3914
Fax
(509) 464-6959
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 30007859 WA
Primary Care Nurse Practitioner 363LP2300X AP30007859 WA Primary

Addresses

Primary practice location

1717 W Francis Ave Ste 104
Spokane, WA 99205-6858

Mailing address

9705 W Nelson Dr
Nine Mile Falls, WA 99026-8651
Phone (509) 230-3914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30007859WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weecare Pediatrics PLLC Pediatrics CurrentSince Oct 12, 2025 Accepting new patients

Locations

1717 W Francis Ave
Ste 104
Spokane, WA 99205
Phone (509) 230-3914

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1295996494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 W NELSON DR",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990268651",
            "telephone_number": "509-230-3914",
            "fax_number": "509-464-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W FRANCIS AVE STE 104",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056858",
            "telephone_number": "509-230-3914",
            "fax_number": "509-464-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUDT",
        "first_name": "BRENDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "30007859",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP30007859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.