NPIMap

Individual provider Active NPI

Scott E Stout, LNHA

  • Skilled Nursing Facility
  • Casey, IL
National Provider Identifier
1952874075
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0002923 Issued in IL
Practice address
410 NW 3Rd St
Casey, IL 62420-1014
Phone
(217) 932-4081
Fax
(217) 932-4922
NPI assigned
Jan 11, 2019
Last updated
Jan 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0002923 IL Primary

Addresses

Primary practice location

410 NW 3Rd St
Casey, IL 62420-1014

Mailing address

215 E Locust St
Harrisburg, IL 62946-1504
Phone (618) 294-8696

Other identifiers 1

IdentifierTypeStateIssuer
14E422OtherILMEDICAID ICF/DD CERTIFICATION

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

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1952874075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E LOCUST ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629461504",
            "telephone_number": "618-294-8696",
            "fax_number": "618-294-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 NW 3RD ST",
            "city": "CASEY",
            "state": "IL",
            "postal_code": "624201014",
            "telephone_number": "217-932-4081",
            "fax_number": "217-932-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "SCOTT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LNHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0002923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ICF/DD CERTIFICATION",
            "identifier": "14E422",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casey, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.