Jensen Pendry Scott

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-41979 Issued in NC

Practice address

1959 N Peace Haven Rd # 104
Winston Salem, NC 27106-4850

Phone

(336) 560-7878

NPI assigned

Jun 15, 2018

Last updated

Jul 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1093209827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 AUTUMN MIST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037061",
            "telephone_number": "336-469-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 N PEACE HAVEN RD # 104",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064850",
            "telephone_number": "336-560-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JENSEN",
        "middle_name": "PENDRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-20-41979",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT-18-58110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dymond Scott
• Emmanuel Scott, MD
• Ericka Scott
• Georgia L Scott, MD
• Jennifer Gray Scott, CRNA
• Julia Scott
• Kimberly Dawn Scott, DDS
• Lori Grissett Scott, C.N.M.
• Marty B Scott, MD
• Melissa Kiser Scott, PHARMD

• Behavior Analyst in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.