Active NPI
Cassidy Sabrina Stout, MD
- Student in an Organized Health Care Education/Training Program
- Dayton, OH
National Provider Identifier
1669047866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 35.148687
- Practice address
- Miami Valley Hospital
1 Wyoming St.
Dayton, OH 45407 - Phone
- (937) 208-8000
- NPI assigned
- May 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 35.148687 | OH | Primary |
Addresses
Primary practice location
Miami Valley Hospital
1 Wyoming St.
Dayton, OH 45407
Mailing address
128 E Apple St
Dayton, OH 45409-2902
Other practice location 1
Kettering Medical Center
3535 Southern Blvd
Dayton, OH 45429
Phone (937) 298-4331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210616000404 | OH | Order and Referring Only - General Surgery | 2860892635 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1669047866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E APPLE ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MIAMI VALLEY HOSPITAL",
"address_2": "1 WYOMING ST.",
"city": "DAYTON",
"state": "OH",
"postal_code": "45407",
"telephone_number": "937-208-8000"
}
],
"practiceLocations": [
{
"address_1": "Kettering Medical Center",
"address_2": "3535 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "45429",
"country_code": "US",
"telephone_number": "937-298-4331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOUT",
"first_name": "CASSIDY",
"middle_name": "SABRINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "35.148687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.