Bonnie Sue Scott, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024164374 Issued in VA

Practice address

1035 Nider Blvd Suite 199
Virginia Beach, VA 23459-2731

Phone

(757) 953-8365

NPI assigned

Feb 27, 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

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1083680219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 NIDER BLVD SUITE 100",
            "address_2": "JEB LITTLE CREEK FORT STORY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234593512",
            "telephone_number": "757-953-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 NIDER BLVD SUITE 199",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234592731",
            "telephone_number": "757-953-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "BONNIE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryn John Scola, P.A.-C
• Earl Sconiers, RPH
• Scott R Goodove DDS PLC
• Andrea Lorne Scott-Maguire, MSSW
• Alison Mayo Scott, RBT
• Brianna Michelle Scott
• Chara Ann Scott, LPC
• Deanne Scott
• Dominique Scott, MA, RIC, NCC
• Emily Goodman Scott, PHD, LPC

• Family Nurse Practitioner in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.

Verify at the official NPI Registry.