Audrey Sheron Scott, NURSE PRACTITIONER

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

423748 Issued in CA

Practice address

2045 Meyer PL
Costa Mesa, CA 92627-2967

Phone

(949) 515-6725

Fax

(949) 515-6726

NPI assigned

Dec 12, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Clinic

  • Local Education Agency (LEA)
  • Costa Mesa, CA
  • NPI 1700079639
  NPD (past)

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1104061589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 MEYER PL",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272967",
            "telephone_number": "949-515-6725",
            "fax_number": "949-515-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 MEYER PL",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272967",
            "telephone_number": "949-515-6725",
            "fax_number": "949-515-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "AUDREY",
        "middle_name": "SHERON",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CA",
            "license": "423748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Nguyen Schultz, RDHAP
• Clayton John Schumacher, DC
• Michael David Schwartz, D.O.
• Scott S. Ferer, M.D., a Medical Corporation
• Scott-Sommer Sobriety Systems
• Erica Colleen Scott, PT
• Maelyn Abutin Scott
• Payton Scott
• Wendie Hamilton Scott, DC
• Wesley E Scott, PHYSICAL THERAPIST

• Family Health Clinical Nurse Specialist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Family Health Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.