Individual provider Active NPI

Susan Carol Scott, CRNA

  • Certified Registered Nurse Anesthetist
  • Bowling Green, KY
National Provider Identifier
1104889427
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1100968 Issued in KY
Practice address
902 Elm St
Bowling Green, KY 42101-2224
Phone
(270) 393-2137
NPI assigned
Apr 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1100968 KY Primary
Certified Registered Nurse Anesthetist 367500000X 050687 NC
Certified Registered Nurse Anesthetist 367500000X R57654 SC
Certified Registered Nurse Anesthetist 367500000X R044418 ME

Addresses

Primary practice location

902 Elm St
Bowling Green, KY 42101-2224

Mailing address

902 Elm St
Bowling Green, KY 42101-2224
Phone (270) 393-2137

Other identifiers 1

IdentifierTypeStateIssuer
1275815MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1100968KYMDCertified Registered Nurse Anesthetist
R044418MEMDCertified Registered Nurse Anesthetist
050687NCMDCertified Registered Nurse Anesthetist
R57654SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Anesthesia Group PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
Ashland Anesthesia, P.S.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiology Associates of Glasgow, PSC Nurse Anesthetist, Certified Registered PastSince Dec 18, 2015 Accepting new patients
Anesthesia Care Enterprises, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Southeast Anesthesiology Consultants, PLLC Past Accepting new patients
Kennebec Anesthesia Associates, P.a. Past Accepting new patients
Anesthesiology Associates of Glasgow PSC Nurse Anesthetist, Certified Registered Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1104889427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 ELM ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012224",
            "telephone_number": "270-393-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 ELM ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012224",
            "telephone_number": "270-393-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1100968",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "050687",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "R57654",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "R044418",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275815",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.