Stacy Ann Scott, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9360429 Issued in FL

Practice address

13300 Atlantic Blvd Apt 123
Jacksonville, FL 32225-6128

Phone

(904) 896-6201

NPI assigned

Nov 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healing and Caring Hands Healthcare, LLC

  • Nursing Care Agency
  • Jacksonville, FL
  • NPI 1659124709
  NPD Authorized official

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1104461334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 ATLANTIC BLVD APT 123",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256128",
            "telephone_number": "904-896-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 ATLANTIC BLVD APT 123",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256128",
            "telephone_number": "904-896-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9360429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S356-781-66-866-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rod Scott, ATC, CES, PES
• Rotechia Scott
• Ruel Wyatt Scott, M.D.
• Shannska Scott, ARNP
• Shayla Scott
• Stephanie Alma Scott, RBT
• Stephanie Andux Scott, D.C.
• Summer Rae Scott, PSY.D.
• Taylor Scott, RBT
• Tia Lashea Scott

• Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.