Diana M.P. Stout, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP121795 Issued in TX

Practice address

4614 N Ih 35
Austin, TX 78751-3401

Phone

(512) 978-9100

Fax

(512) 901-9751

NPI assigned

Nov 19, 2012

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Central Texas Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
  • NPI 1861420382
  NPD (past)

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1790029460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 N IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513401",
            "telephone_number": "512-978-9100",
            "fax_number": "512-901-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 N IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513401",
            "telephone_number": "512-978-9100",
            "fax_number": "512-901-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "DIANA",
        "middle_name": "M.P.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP121795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L Stote, PH.D.
• Sarah Stott
• Paul Eric Stoufflet, M.D.
• Scott Stoughton, CSFA/LSA
• Alexandra Garcia Stout, MS, RD, LDN
• Marianne Sevilla Stout, PHD
• Nella Gemma H Stout, FNP-C
• Randy Lee Stout, PHARMD
• Jessica Nicole Stovall, LMT
• Richard B Stovall, M.D.

• Family Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.

Verify at the official NPI Registry.