Brian Matthew Stout

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

LP60534434 Issued in WA

Practice address

18306 71St Ave E
Puyallup, WA 98375-1843

Phone

(931) 538-2387

NPI assigned

Feb 1, 2021

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1548851645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18306 71ST AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983751843",
            "telephone_number": "931-538-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18306 71ST AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983751843",
            "telephone_number": "931-538-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "BRIAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "WA",
            "license": "LP60534434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lee Stone, DPT
• Shell A Stonge
• Michael Stork
• Britta L Storm, CN
• Vanessa R Stormer, LMHC
• Sean Stuart Stout, M.D.
• Violeta Atanasova Stoyanova, DDS
• Francesca Lorraine Stracke, ARNP
• Jessica Strain, LMP
• Cortney Marie Straus, L.M.P.

• Licensed Vocational Nurse in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Licensed Vocational Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.