Active NPI
T Andra Chaquail Stoute
- Behavior Analyst
- Broadlands, VA
National Provider Identifier
1730771502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 43191 Thistledown Ter Apt 330
Broadlands, VA 20148-4081 - Phone
- (571) 274-0519
- NPI assigned
- Feb 3, 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
43191 Thistledown Ter Apt 330
Broadlands, VA 20148-4081
Mailing address
43191 Thistledown Ter Apt 330
Broadlands, VA 20148-4081
Phone (571) 274-0519
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1730771502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43191 THISTLEDOWN TER APT 330",
"city": "BROADLANDS",
"state": "VA",
"postal_code": "201484081",
"telephone_number": "571-274-0519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43191 THISTLEDOWN TER APT 330",
"city": "BROADLANDS",
"state": "VA",
"postal_code": "201484081",
"telephone_number": "571-274-0519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUTE",
"first_name": "T ANDRA",
"middle_name": "CHAQUAIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broadlands, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.