PHYLLIS J. STOUT FNP NPI 1457496895

NPI Information

  • NPI: 1457496895
  • Provider Name: PHYLLIS J. STOUT, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2115 S FREMONT AVE
    SUITE 1000
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 820-8099

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NPI Details

Phyllis J. Stout, FNP is a family nurse practitioner in Springfield, MO. Phyllis J. Stout, FNP NPI is 1457496895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2115 S FREMONT AVE
SUITE 1000
SPRINGFIELD, MO
ZIP 65804-239
Phone: (417) 820-8099
Fax: (417) 820-8093

The enumeration date for this NPI number is 2/21/2007 and was last updated on 11/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily052911MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1429683519MEDICAIDMISSOURI
2431560263OTHERTRICARE WEST
3824653268MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMO MDCR #
4171792758MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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