Active NPI
Monica Stout
- Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1780706739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 89044-030
- Practice address
- 2207 W Wisconsin Ave
Milwaukee, WI 53233-1923 - Phone
- (414) 931-8181
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 89044-030 | WI | Primary |
Addresses
Primary practice location
2207 W Wisconsin Ave
Milwaukee, WI 53233-1923
Mailing address
600 E Locust St
Milwaukee, WI 53212-2545
Phone (414) 372-3748
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89044-030 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780706739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E LOCUST ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532122545",
"telephone_number": "414-372-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2207 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532331923",
"telephone_number": "414-931-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "MONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "89044-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- 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.