Leslie Dawn Scott

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

161 Mitchell Blvd Ste 101
San Rafael, CA 94903-2068

Phone

(415) 507-2815

Fax

(415) 473-2353

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023116290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 LARKSPUR PLAZA DR APT 7",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391474",
            "telephone_number": "415-827-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MITCHELL BLVD STE 101",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032068",
            "telephone_number": "415-507-2815",
            "fax_number": "415-473-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LESLIE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "11186109",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Scippa, RN., NP
• Lennox Scobie-Hines, RN, PHN, ACRN
• Cassius A. Scott, MD
• Daniel Eric Scott, D.D.S.
• David Scott
• Percy Scott
• Renata M. Scott, MD
• Elizabeth Seagrave, M.S. CCC-SLP
• Jessica Seavey
• Michael Sedaghatfar, D.M.D., M.S.

• Specialist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.