Organization Active NPI

NP Adult Healthcare PLLC

  • Adult Health Nurse Practitioner
  • Watertown, NY
National Provider Identifier
1043634652
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
NP ADULT HEALTHCARE PLLC
Practice address
1511 Washington St
Suite 7
Watertown, NY 13601-9314
Phone
(315) 681-4367
Fax
(315) 405-4585
NPI assigned
Feb 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Dawn L Scott, ANP-BC
Title
Owner
Phone
(315) 681-4367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

1511 Washington St
Suite 7
Watertown, NY 13601-9314

Mailing address

1511 Washington St
Suite 7
Watertown, NY 13601-9314
Phone (315) 681-4367

National Provider Directory

National Provider Directory

Locations

1511 Washington St
Watertown, NY 13601
Phone (315) 775-8540

1511 Washington St
Ste 7
Watertown, NY 13601
Phone (315) 681-4367

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1043634652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 WASHINGTON ST",
            "address_2": "SUITE 7",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019314",
            "telephone_number": "315-681-4367",
            "fax_number": "315-405-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 WASHINGTON ST",
            "address_2": "SUITE 7",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019314",
            "telephone_number": "315-681-4367",
            "fax_number": "315-405-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP ADULT HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-681-4367",
        "authorized_official_credential": "ANP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.