Jeremiah Stout
Student in an Organized Health Care Education/Training Program in Seattle, WA. Individual provider (NPI-1).
NPI number1245085950
StatusActive
Last updated in NPPESApr 17, 2024
Details
- NPI
- 1245085950
- Entity type
- Individual (NPI-1)
- Name
- Jeremiah Stout
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2024
- Certification date
- Apr 17, 2024
- Last updated
- Apr 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
325 9th AveSeattle, WA 98104-2420
Phone 206-543-6577
Mailing address
603 1st St Sw Apt 301Rochester, MN 55902-6290
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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