Penny Jane Stout

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

2240926 Issued in OH

Practice address

4100 State Route 47 E
Bellefontaine, OH 43311-9546

Phone

(937) 592-4909

NPI assigned

Mar 11, 2007

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

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841322328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "address_2": "5452 CR 26",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433110281",
            "telephone_number": "937-355-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 STATE ROUTE 47 E",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119546",
            "telephone_number": "937-592-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "PENNY",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "OH",
            "license": "2240926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Nanette Stevens, CNP
• Mark Stevens
• Malcolm A Stokes, PHD, ACSW
• Winfred E Stoltzfus, MD
• Emily Stone
• James Russell Strzalka
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• Brent Paul Swartz, O.D.
• Jessica Lynn Sweeney, LSW
• Patricia Sweeney, MD

• Child Intellectual and/or Developmental Disabilities Respite Care in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Ohio

• 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.