Individual provider Active NPI

Sheila D Stout

  • Speech-Language Pathologist
  • Rolling Meadows, IL
National Provider Identifier
1912108358
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146.005202 Issued in IL
Practice address
4225 Kirchoff Rd
Rolling Meadows, IL 60008-2005
Phone
(847) 397-2400
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146.005202 IL Primary

Addresses

Primary practice location

4225 Kirchoff Rd
Rolling Meadows, IL 60008-2005

Mailing address

717 W Happfield Dr
Arlington Heights, IL 60004-7139

Other practice location 1

The Claremont Rehab & Living Center
150 North Weiland Rd
Buffalo Grove, IL 60089
Phone (847) 465-0200 ext. 5159

Other names 1

  • Ms. Sheila D Stout Former name

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

LicenseStateTypeSpecialty
146.005202ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1912108358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W HAPPFIELD DR",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 KIRCHOFF RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600082005",
            "telephone_number": "847-397-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "The Claremont Rehab & Living Center",
            "address_2": "150 North Weiland Rd",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "60089",
            "country_code": "US",
            "telephone_number": "847-465-0200 x5159",
            "fax_number": "847-465-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "SHEILA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.005202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "STOUT",
            "middle_name": "D",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.