Organization Active NPI

Karen M Scott M a

  • Audiologist
  • San Luis Obispo, CA
National Provider Identifier
1093957870
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU 158 Issued in CA
Legal business name
KAREN M SCOTT M A
Practice address
3220 South Higuera Street
Ste. 320
San Luis Obispo, CA 93401-6987
Phone
(805) 541-1790
Fax
(805) 541-1793
NPI assigned
Mar 25, 2009
Last updated
Dec 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Mr. Fred E. Fuller
Title
Manager
Phone
(805) 541-1790

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU 2031 CA
Audiologist 231H00000X AU 158 CA Primary
Hearing Instrument Specialist 237700000X HA 4180 CA

Addresses

Primary practice location

3220 South Higuera Street
Ste. 320
San Luis Obispo, CA 93401-6987

Mailing address

3220 South Higuera Street
Ste. 320
San Luis Obispo, CA 93401-6987
Phone (805) 541-1790

National Provider Directory

National Provider Directory

Locations

3220 S Higuera St
Ste 320
Sn Luis Obisp, CA 93401
Phone (805) 541-1790

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1093957870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SOUTH HIGUERA STREET",
            "address_2": "STE. 320",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016987",
            "telephone_number": "805-541-1790",
            "fax_number": "805-541-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 SOUTH HIGUERA STREET",
            "address_2": "STE. 320",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016987",
            "telephone_number": "805-541-1790",
            "fax_number": "805-541-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN M SCOTT M A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "805-541-1790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU 2031",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU 158",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA 4180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.