Stacy E Outman

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004320 Issued in MO

Practice address

1 Campus Dr
Wentzville, MO 63385-3415

Phone

(636) 327-3800

Fax

(636) 327-8611

NPI assigned

Aug 14, 2008

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

State licenses

Practice roles

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.

• Wentzville R-IV School District

  • Local Education Agency (LEA)
  • Wentzville, MO
  • NPI 1942334289
  NPD (past)

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1437305083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CARR ST",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851151",
            "telephone_number": "636-327-3800",
            "fax_number": "636-327-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAMPUS DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853415",
            "telephone_number": "636-327-3800",
            "fax_number": "636-327-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTMAN",
        "first_name": "STACY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "004320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chance Philip Orf
• David Vincent Orf, DDS
• Jennifer Ostmann, PLPC
• Our Urgent Care, LLC
• Rita K Ousley
• Jonathan Cooper Owens, D.C.
• P.W. Deschamp LTD. (Dr. P.W. Deschamp D.C.)
• Phillip Palmer
• Palombi Vision Center PC
• Diane Lynn Palombi, O.D.

• Occupational Therapist in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.