NPI 1215501457
Stacy D. Stout
Technician, Personal Care Attendant · Fairmont, WV
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 9:00 am EDT
See the full record in NPI Lookup
Licenses with board links, Medicare enrollment, the verification report, industry payments and published research, plus Excel and PDF downloads.
Stacy D. Stout is a health care provider (Technician, Personal Care Attendant) in Fairmont, West Virginia with National Provider Identifier (NPI) 1215501457. The NPI was issued on May 13, 2021 and the registry record was last updated on May 13, 2021. The registry lists a license in West Virginia.
Registry record
- NPI
- 1215501457
- Type
- Individual (NPI-1), sole proprietor
- Primary specialty
- Technician, Personal Care Attendant 3747P1801X
- Practice location
- 10 Mountain Park Dr
Fairmont, WV 26554-8992 - Phone
- (304) 816-3687
- NPI issued
- May 13, 2021
- Registry record updated
- May 13, 2021
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Technician, Personal Care Attendant Primary | 3747P1801X | West Virginia |
Confirm license status and discipline with the state board (links in NPI Lookup).
Personal Care Attendant providers in West Virginia
- Andrew FrazierCharleston, WV
- Maria LopezBelington, WV
- Bobby SmithMadison, WV
- Jennie DavisCharleston, WV
- Jennifer Marie DavisBranchland, WV
- Betty MitchellParsons, WV
- Jeremy Dee McCormickBarboursville, WV
- Kimberly RobinsonDanville, WV
- Dawn R. DavisParsons, WV
- Amanda Jo MyersSandyville, WV
- Chloe Jaden HicksKeyser, WV
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.