NPIMap

Individual provider Active NPI

Kimberly A Scott, N.P.

  • Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1104822295
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1505 Issued in CA
Practice address
500 Independence Pkwy Ste 100
Chesapeake, VA 23320-5197
Phone
(757) 547-9714
Fax
(757) 547-0725
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1505 CA Primary
Family Nurse Practitioner 363LF0000X 24167669 VA

Addresses

Primary practice location

500 Independence Pkwy Ste 100
Chesapeake, VA 23320-5197

Mailing address

1291 Cutter PT
Virginia Beach, VA 23454-2014
Phone (559) 836-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081028000446 VA Practitioner - Nurse Practitioner 0840258380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Ear Nose and Throat Associates PCGroup PAC ID 5890773626, 17 clinicians

Practice addresses (Care Compare)

500 Independence Pkwy
Suite 100
Chesapeake, VA 23320-5197
Phone (757) 547-9714

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15050CAMDOccupational Therapist
24167669VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Ear, Nose & Throat Associates, P.C. CurrentSince Oct 1, 2008 Accepting new patients
Baz Allergy, Asthma & Sinus Center Past Accepting new patients

Locations

500 Independence Pkwy
Ste 100
Chesapeake, VA 23320
Phone (747) 547-9714

510 Independence Pkwy
Ste 850
Chesapeake, VA 23320
Phone (757) 290-0202

361 Southport Cir
Ste 100
Virginia Beach, VA 23452
Phone (757) 547-9714

Interoperability endpoints

  • Direct secure messaging: kscott@events.emadirect.md

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1104822295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 CUTTER PT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542014",
            "telephone_number": "559-836-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 INDEPENDENCE PKWY STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205197",
            "telephone_number": "757-547-9714",
            "fax_number": "757-547-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "1505",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "24167669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.