Naomi Kathleen Stauth, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATH.200262 Issued in LA

Practice address

2025 Oak Park Blvd
Lake Charles, LA 70601-7827

Phone

(337) 477-8214

NPI assigned

Jul 1, 2014

Last updated

Jul 1, 2014By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1659787406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 CREOLE ST APT 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017192",
            "telephone_number": "316-204-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017827",
            "telephone_number": "337-477-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUTH",
        "first_name": "NAOMI",
        "middle_name": "KATHLEEN",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "ATH.200262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Care Service Inc
• Starfish Lake Charles (Sensible Dental)
• Laurie Davis Starr, FNP-C
• State of la/DHH/Obh (Lake Charles Behavioral Health Clinic)
• Jarrod Wayne Statum, RSW
• Joel Rion Staves
• Laura Beth Stawecki, APRN
• Karen L Steen, LPC-S, NCC
• Raymond J. Steiner, D.D.S.
• Howard M Stelly, MD

• Athletic Trainer in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Athletic Trainer in Louisiana

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