Melissa A. Stout, D.C., F.I.A.M.A.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002075A Issued in IN

Practice address

2705 S Berkley Rd
Suite #1-B
Kokomo, IN 46902-8025

Phone

(765) 455-2014

Fax

(765) 455-6099

NPI assigned

Apr 11, 2007

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

Other identifiers 2

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.

• Stout Chiropractic, P.C.

  • Chiropractor
  • Kokomo, IN
  • NPI 1770791352
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750504304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 S BERKLEY RD",
            "address_2": "SUITE #1-B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469028025",
            "telephone_number": "765-455-2014",
            "fax_number": "765-455-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 S BERKLEY RD",
            "address_2": "SUITE #1-B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469028025",
            "telephone_number": "765-455-2014",
            "fax_number": "765-455-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "MELISSA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C., F.I.A.M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002075A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM #",
            "identifier": "000000297700",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00121563",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Stoner
• David Frank Stouse, MA, LCSW, MAC
• Stout Chiropractic, P.C.
• Benjamin R. Stout, D.C., F.I.A.M.A.
• Jacklyn Stout
• Meridian A Stowers, OTD OTR
• Kelly Strausburg
• Mikayla Strik
• Brandy Tennille Strubell, DT
• Kimberley Sue Strunk, MS, OTR

• Chiropractor in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.