Keana Stout, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

60933744 Issued in WA

Practice address

3510 Steelhammer Lane
Centralia, WA 98531-4551

Phone

(360) 623-8020

Fax

(360) 736-3139

NPI assigned

Jul 8, 2020

Last updated

Jul 8, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1922626829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 STEELHAMMER LANE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 STEELHAMMER LANE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314551",
            "telephone_number": "360-623-8020",
            "fax_number": "360-736-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "KEANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "60933744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C David Stevens, D.D.S.
• William Alexander Stevens, MD
• John Harvard Stiltner, DC
• Laurann Nicole Stiltner, AAC
• Jedediah Corley Stone, BA AAC
• Mary Stout, M.A., CCC-SLP
• Michelle Stover, ARNP
• Brooke Elizabeth Stray
• Richard Joseph Stride
• Laurie Stuart, RNC

• Registered Nurse in Centralia, WA
• Providers in Centralia, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.