MARY JO STOUT (NPI# 1285652305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285652305 |
| Entity Type | Individual |
| Full Name | MARY JO STOUT |
| Credential | ARNP |
| Practice Address |
1560 N 115th St Ste 209 Seattle WA 98133-8414 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065205000 |
| Mailing Telephone | 2065205700 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN00078816 | WA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30003830 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1285652305 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942295969 | Mary Theresa Stout | Physical Therapist | 4 N 6th St, Shamokin, PA 17872-5210 | 2005-09-15 |
| 1306333885 | Mary Stout | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2018-04-19 |
| 1770086548 | Mary Elizabeth Stout | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303 | 2018-03-17 |
| 1184059370 | Mary Stout | Speech-Language Pathologist | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2013-09-06 |
| Street Address |
1560 N 115TH ST STE 209 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-8414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689022626 | Alfred Noriega | Physician Assistant | 1560 N 115th St Ste 209, Seattle, WA 98133-8414 | 2016-06-01 |
| 1982099354 | Brittany Subasic | Physician Assistant | 1560 N 115th St Ste 209, Seattle, WA 98133-8414 | 2015-04-02 |
| 1003950361 | Truman E Ellis | Physician Assistant | 1560 N 115th St Ste 209, Seattle, WA 98133-8414 | 2007-02-19 |
| 1609910967 | John Michael Echeveste | Physician Assistant | 1560 N 115th St Ste 209, Seattle, WA 98133-8414 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
| 1225647381 | Donica Liwanag Badua | Nurse Practitioner | 819 Virginia St Unit 2605, Seattle, WA 98101-4430 | 2020-07-24 |
| 1326664145 | William Silas Nichols | Nurse Practitioner | 1760 Nw 56th St Apt 211, Seattle, WA 98107-5299 | 2020-06-17 |
| 1306485370 | Samuelle Genevievre Inevil | Nurse Practitioner | 4455 Interlake Ave N Unit 524, Seattle, WA 98103-7592 | 2019-12-23 |
| 1841838422 | Rachel Sasinowski Herrmann | Nurse Practitioner | 1505 Westlake Ave N Ste 400, Seattle, WA 98109-6211 | 2019-12-14 |
| 1265085542 | Hyunjoo Hannah Bae | Nurse Practitioner | 1818 Harvard Ave Apt 104, Seattle, WA 98122-2289 | 2019-07-16 |
| 1699247874 | Brien Claes Barrett | Nurse Practitioner | 10315 Stone Ave N, Seattle, WA 98133-9419 | 2018-12-28 |
| 1730662057 | Heather Renee Grods | Nurse Practitioner | 4409 California Ave Sw Ste 100, Seattle, WA 98116-4916 | 2018-09-12 |
| 1639651086 | Amanda Matthews | Nurse Practitioner | 9000 Holman Rd Nw Ste A1, Seattle, WA 98117-3418 | 2018-09-02 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on MARY JO STOUT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.