AMANDA STOUT (NPI# 1790278935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790278935 |
| Entity Type | Individual |
| Full Name | AMANDA STOUT |
| Practice Address |
300 68th St Se Grand Rapids MI 49548-6927 |
| Practice Telephone | 6164555000 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704274564 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447417381 | Amanda Stout | Registered Nurse | 210 Douglas Cir, Georgetown, OH 45121-1469 | 2008-05-19 |
| 1477097210 | Amanda Stout | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2016-12-13 |
| 1083079636 | Amanda Grace Stout | Pharmacist | 200 State Hospital Dr, Danville, PA 17821-9103 | 2015-12-28 |
| 1699143859 | Amanda Jean Stout | Community Health Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2015-09-04 |
| 1982840344 | Amanda Stout | Counselor | 165 Main St Ste A, Cortland, NY 13045-3049 | 2009-01-06 |
| Street Address |
300 68TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49548-6927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920550 | Emergency Physicians Inc PC | General Practice | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2005-05-31 |
| 1235742768 | Robert Milton Hughes | Physician Assistant | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2020-08-25 |
| 1992317580 | Jacob Alan Lowe | Psychologist | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2020-08-17 |
| 1922619063 | Jennifer Nicole Oconnor | Social Worker | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2020-08-12 |
| 1407464670 | Christina Joy Weaver | Physician Assistant | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2020-07-14 |
| 1780200436 | Wendy Forrest | Psychiatry & Neurology | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2020-06-18 |
| 1003430877 | Cory Manoogian | Psychiatry & Neurology | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2020-06-08 |
| 1992329650 | Amy Joy Smith | Psychologist | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2020-05-29 |
| 1134743800 | Brendan Mcneilly | Psychiatry & Neurology | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2020-05-29 |
| 1467075176 | Luke Vander Wal | Psychologist | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2020-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
| 1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
| 1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
| Find all providers in zip 49548 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152262 | Krishanda Marie Mckeown | Registered Nurse | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2020-10-22 |
| 1962051359 | Melissa Sue Brusacoram | Registered Nurse | 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 | 2019-09-09 |
| 1518424787 | Laura Katona | Registered Nurse | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2019-02-25 |
| 1356806210 | Andrea Nicole Witczak | Registered Nurse | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-02-05 |
| 1326518176 | Susan Marie Jarchow | Registered Nurse | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2018-12-04 |
| 1386126878 | Amanda Harris | Registered Nurse | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2018-08-31 |
| 1124507843 | Monique Kean | Registered Nurse | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2018-08-13 |
| 1952895047 | Christy Ann Vanhoven | Registered Nurse | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-06-21 |
| 1164916243 | Dianne Fox | Registered Nurse | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-06-21 |
| 1225521321 | Eric Lund | Registered Nurse | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2018-06-13 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49548 |
Please comment or provide details below to improve the information on AMANDA 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.