Individual provider Active NPI

James Stout

  • Family Nurse Practitioner
  • Concrete, WA
National Provider Identifier
1366987448
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60732866 Issued in WA
Practice address
7438 S D Ave
Concrete, WA 98237-9642
Phone
(360) 853-8183
NPI assigned
Dec 28, 2016
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60732866 WA Primary

Addresses

Primary practice location

7438 S D Ave
Concrete, WA 98237-9642

Mailing address

7438 S D Ave
Concrete, WA 98237-9642

Other names 1

  • James A. Stout Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170727001309 WA Practitioner - Nurse Practitioner 6204106099 Reassigns benefits to 1 organization
I20180327001829 TX Practitioner - Nurse Practitioner 6204106099 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Family CurrentSince Apr 1, 2018 Accepting new patients
Sea Mar Community Health Centers Family Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Jun 7, 2017 Accepting new patients
Sea Mar Community Health Centers CurrentSince Jun 7, 2017 Accepting new patients
Sea-Mar Community Health Center Past Accepting new patients
Sea-Mar Community Health Center Past Accepting new patients

Locations

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451

7438 S D Ave
Ste A
Concrete, WA 98237
Phone (360) 853-8183

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1366987448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7438 S D AVE",
            "city": "CONCRETE",
            "state": "WA",
            "postal_code": "982379642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7438 S D AVE",
            "city": "CONCRETE",
            "state": "WA",
            "postal_code": "982379642",
            "telephone_number": "360-853-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-28",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60732866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "STOUT",
            "middle_name": "A.",
            "credential": "MSN, FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Concrete, WA

Sources for this page

Verify at the official NPI Registry.