Active NPI
Teri Lynae Scott, ARNP, CWCN
- Nurse Practitioner
- Bremerton, WA
National Provider Identifier
1003971599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30007080
- Practice address
- 2520 Cherry Ave
Bremerton, WA 98310-4229 - Phone
- (360) 744-5618
- Fax
- (360) 744-4559
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30007080 | WA | Primary |
Addresses
Primary practice location
2520 Cherry Ave
Bremerton, WA 98310-4229
Mailing address
2520 Cherry Ave
Bremerton, WA 98310-4229
Phone (360) 744-6610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8883372 | Other | WA | PTAN |
| G8883373 | Other | WA | PTAN |
Other names 1
- Teresa Scott Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007080 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrison Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Port Orchard, WA
- NPI 1679613244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1003971599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 CHERRY AVE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983104229",
"telephone_number": "360-744-6610",
"fax_number": "360-744-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 CHERRY AVE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983104229",
"telephone_number": "360-744-5618",
"fax_number": "360-744-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "TERI",
"middle_name": "LYNAE",
"credential": "ARNP, CWCN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30007080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "G8883372",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "G8883373",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "DAVIS",
"middle_name": "SCOTT",
"credential": "ARNP, CWCN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.