Jessica Dawn Fout, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN109695 Issued in OH

Practice address

2177 County Road 19
Kitts Hill, OH 45645-8524

Phone

(740) 534-9488

NPI assigned

Apr 28, 2008

Sex

Female

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

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.

• American Energy Healthcare

  • Home Health Agency
  • Chesapeake, OH
  • NPI 1487370995
  NPD Authorized official
• Free Choice Transportation

  • Non-emergency Medical Transport (VAN)
  • Chesapeake, OH
  • NPI 1689399164
  NPD Authorized official

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1679748842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 COUNTY ROAD 19",
            "city": "KITTS HILL",
            "state": "OH",
            "postal_code": "456458524",
            "telephone_number": "740-534-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 COUNTY ROAD 19",
            "city": "KITTS HILL",
            "state": "OH",
            "postal_code": "456458524",
            "telephone_number": "740-534-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUT",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN109695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Chaffin
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• Rebecca Cremeens
• Tiffany Lea Ann Depriest
• Teresa Kay Hall, LPN
• Tonnette Hoffman, CNP
• Cassandra Dawn Humphrey, RN
• Edith Humphreys
• Jeanne L Ingles, FNP-BC

• All providers in Kitts Hill, OH
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.