Jimmy Dale Stout, BA CHAPLAIN

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

8960 N Agate Place
Tucson, AZ 85742

Phone

(520) 241-8608

NPI assigned

Feb 15, 2007

Last updated

Jun 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Jimmy Dale Stout Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1548303563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 N AGATE PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429418",
            "telephone_number": "520-241-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 N AGATE PLACE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85742",
            "telephone_number": "520-241-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "JIMMY",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "BA CHAPLAIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIMMY",
            "last_name": "STOUT",
            "middle_name": "DALE",
            "prefix": "MR.",
            "credential": "BA CHAPLAIN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caleb Story
• Noa Marie Stotts
• John W Stoughton, M.D.
• Samantha Stoupa, MD
• Danica Stout, NP
• Russell Stout, RN
• Sarah Stout, LMSW
• David H Stover, RRT
• Elaina Stover, DPT
• Rachel S Stover, MD

• Specialist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.