Tamela Ulila Stout, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

149 Issued in WY

Practice address

1103 E Boxelder Rd Ste U
Gillette, WY 82718-5582

Phone

(307) 686-8177

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1427078252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 DOUBLE TREE RD",
            "city": "ROZET",
            "state": "WY",
            "postal_code": "827278471",
            "telephone_number": "308-778-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E BOXELDER RD STE U",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185582",
            "telephone_number": "307-686-8177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "NE",
            "postal_code": "691546096",
            "country_code": "US",
            "telephone_number": "308-772-3283 x211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "TAMELA",
        "middle_name": "ULILA",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NE",
            "license": "44",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WY",
            "license": "149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Stimson, LCSW
• Jason Allen Stirling, PT
• Lorelee Stock, M.D
• Michael Stolpe, D.O.
• Linda Stone-Soukup, NP-C
• Carrie Lynn Strawn, MA LPC NCC
• Adam Lawrence Strecker, ATC, CSCS
• C. Dawn Strohschein, DDS
• Deni Lorene Stuart
• Audra Stumbaugh

• Athletic Trainer in Gillette, WY
• Providers in Gillette, WY by specialty
• Athletic Trainer in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.