Jennifer Marie Stoudt, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60197769 Issued in WA

Practice address

318 Garden Ave N
Renton, WA 98057-5729

Phone

(425) 231-8042

NPI assigned

Apr 4, 2011

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

Other names 1

• Mrs. Jennifer Marie Brittain Former name

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.

• Monroe Therapeutic Massage PS

  • Massage Therapist
  • Bellevue, WA
  • NPI 1184830804

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1841589587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 116TH AVE NE STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043064",
            "telephone_number": "425-455-0088",
            "fax_number": "425-455-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 GARDEN AVE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575729",
            "telephone_number": "425-231-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUDT",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60197769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRITTAIN",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Christopher Stone
• Erin Louise Stone, OT
• Jeffrey L. Stone, MD
• Michelle Ann Stone, PA-C
• Brian Storie
• Elizabeth Wyman Stoughton, M.S.ED., BCBA
• David M Strand, PHD
• Pnina Strasbourger, MD
• Julie Stratton, CCC-SLP
• Howard Nicholas Straub, DO

• Specialist in Renton, WA
• Providers in Renton, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.