Shannon Cozette Stout

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

312 N Van Buren St
Enid, OK 73703-4500

Phone

(888) 573-7792

NPI assigned

Jun 17, 2021

Last updated

Jan 25, 2023By the provider in NPPES

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shamrock Counseling Services LLP

  • Community/Behavioral Health Agency
  • Enid, OK
  • NPI 1063962215
  Medicare reassignment NPD
• Millennium Community Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Enid, OK
  • NPI 1013309616
  NPD

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1346819034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N VAN BUREN ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034500",
            "telephone_number": "888-573-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N VAN BUREN ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034500",
            "telephone_number": "888-573-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "SHANNON",
        "middle_name": "COZETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Stonebarger
• Stotts Eyecare PC
• Heath David Stotts, O.D.
• Brooke Kelley Stough, D.P.M.
• James Daniel Stough, DPM
• Ty Stroble
• Courtney Erin Strzinek, B.H.R.S.
• Linda Suderman, RN, IBCLC
• Sugarcreek Dental
• Jennifer Renee Sullivan, LPC , MCP

• Case Manager/Care Coordinator in Enid, OK
• Providers in Enid, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.