Scotty Lee Van Fossen, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN99216 Issued in NV

Practice address

10345 Professional Cir Ste 125
Reno, NV 89521-3100

Phone

(775) 348-7300

NPI assigned

Jan 8, 2024

Last updated

Jan 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1053181313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 E ANTELOPE ST",
            "city": "SILVER SPRINGS",
            "state": "NV",
            "postal_code": "894298619",
            "telephone_number": "559-805-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 PROFESSIONAL CIR STE 125",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213100",
            "telephone_number": "775-348-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN FOSSEN",
        "first_name": "SCOTTY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN99216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Louise Van Dover, APRN-CNP
• Martha Jenny Anja Van Duyne, MD
• Spencer Kilman Van Dyck
• Julianna Van Enk, PHARMD
• Kathie J Van Epps
• Laura Ingrid Van Key
• Chelsea Van Kruyssen
• Marcus Van Stone
• James Floyd Vanantwerp, MD
• John Vanbiber

• Registered Nurse in Reno, NV
• Providers in Reno, NV by specialty
• Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.