Active NPI
Lisa Elaine Stout, APRN-CNM
- Advanced Practice Midwife
- Altus, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 50604
- Practice address
- 101 S Park LN Ste 200
Altus, OK 73521-5731 - Phone
- (580) 379-6140
- Fax
- (580) 379-6149
- NPI assigned
- May 29, 2007
- Last updated
- May 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APRN11047228 | FL | |
| Advanced Practice Midwife | 367A00000X | 50604 | OK | Primary |
Addresses
Primary practice location
101 S Park LN Ste 200
Altus, OK 73521-5731
Mailing address
1200 E Pecan St
Altus, OK 73521-6141
Phone (580) 379-5000
Other practice location 1
1046 Mar Walt Dr Ste 200
Fort Walton Beach, FL 32547-6645
Phone (850) 243-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200924150A | Medicaid | OK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LisaStout@direct.jcmh.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1046 Mar Walt Dr
Suite 200
Fort Walton Beach, FL 32547-6645
207 Granby Park
Norfolk, VA 23505-4119
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11047228 | FL | MD | Advanced Practice Midwife |
| 50604 | OK | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Current | Accepting new patients | |
| Diana Health FL P.a. | Advanced Practice Midwife | Current | Accepting new patients |
| Jackson County Memorial Hospital Authority | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Jackson County Memorial Hosp Phcy | Past | Accepting new patients | |
| Absolute OBGYN LLC | Past | Accepting new patients |
Locations
1046 Mar Walt Dr
Ste 200
Fort Walton Beach, FL 32547
Phone (850) 243-2229
101 S Park Ln
Altus, OK 73521
Phone (580) 379-6140
101 S Park Ln
Ste 200
Altus, OK 73521
Phone (580) 379-6100
1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000
205 S Park Ln
Ste 210
Altus, OK 73521
Phone (580) 379-6650
Interoperability endpoints
- https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4
- lisastout@direct.jcmh.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Obstetrics & Gynecology Physician
- Fort Walton Beach, FL
- NPI 1194591966
Advanced Practice Midwife
-
dba Harmon Memorial Hospital
- Critical Access Hospital
- Hollis, OK
- NPI 1295735991
-
dba Jackson County Memorial Hospital Pharmacy
- Institutional Pharmacy
- Altus, OK
- NPI 1518028380
-
dba JCMH Familycare Medical Clinic of Mangum
- Rural Health Clinic/Center
- Mangum, OK
- NPI 1093199382
-
- Obstetrics & Gynecology Physician
- Gulf Breeze, FL
- NPI 1801301122
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1952502064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E PECAN ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735216141",
"telephone_number": "580-379-5000",
"fax_number": "580-379-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S PARK LN STE 200",
"city": "ALTUS",
"state": "OK",
"postal_code": "735215731",
"telephone_number": "580-379-6140",
"fax_number": "580-379-6149"
}
],
"practiceLocations": [
{
"address_1": "1046 Mar Walt Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Fort Walton Beach",
"state": "FL",
"postal_code": "325476645",
"country_code": "US",
"telephone_number": "850-243-2229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOUT",
"first_name": "LISA",
"middle_name": "ELAINE",
"credential": "APRN-CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN11047228",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OK",
"license": "50604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200924150A",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "LisaStout@direct.jcmh.com",
"affiliation": "N",
"address_1": "101 S Park Ln Ste 200",
"city": "Altus",
"state": "OK",
"country_code": "US",
"postal_code": "735215731",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Altus, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.