Active NPI
Greg Scott, REGISTERED NURSE
- Registered Nurse
- Ogema, WI
National Provider Identifier
1003221052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 114407-030
- Practice address
- N2722 Ten Crossing Rd
Ogema, WI 54459-8170 - Phone
- (715) 767-5250
- NPI assigned
- Jun 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 114407-030 | WI | Primary |
Addresses
Primary practice location
N2722 Ten Crossing Rd
Ogema, WI 54459-8170
Mailing address
N2722 Ten Crossing Rd
Ogema, WI 54459-8170
Phone (715) 767-5250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114407-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404000000000",
"number": "1003221052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N2722 TEN CROSSING RD",
"city": "OGEMA",
"state": "WI",
"postal_code": "544598170",
"telephone_number": "715-767-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N2722 TEN CROSSING RD",
"city": "OGEMA",
"state": "WI",
"postal_code": "544598170",
"telephone_number": "715-767-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "GREG",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-29",
"last_updated": "2014-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "114407-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogema, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.