Individual provider Active NPI

Mya F Scott, CPT

  • Phlebotomy Technician
  • Gainesville, FL
National Provider Identifier
1033823315
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
272268976 Issued in FL
Practice address
4209 NW 60TH Ave
Gainesville, FL 32653-0718
Phone
(352) 871-8614
Fax
(888) 841-5541
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 272268976 FL Primary

Addresses

Primary practice location

4209 NW 60TH Ave
Gainesville, FL 32653-0718

Mailing address

9200 NW 39TH Ave Ste 130-3326
Gainesville, FL 32606-7331
Phone (352) 871-8614

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop

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

LicenseStateTypeSpecialty
272268976FLMDPhlebotomy Technician

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1033823315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 NW 39TH AVE STE 130-3326",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067331",
            "telephone_number": "352-871-8614",
            "fax_number": "888-851-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 NW 60TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326530718",
            "telephone_number": "352-871-8614",
            "fax_number": "888-841-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MYA",
        "middle_name": "F",
        "credential": "CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": "272268976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "4209 NW 60th Ave",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326530718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.