Fannie Scott

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

900 Liberty Ave
Newton, IL 62448-1808

Phone

(618) 783-7529

NPI assigned

Feb 10, 2025

Last updated

Feb 10, 2025By the provider in NPPES

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)

Not enrolled

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1114732831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S VAN BUREN ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481651",
            "telephone_number": "618-783-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LIBERTY AVE",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481808",
            "telephone_number": "618-783-7529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 S Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "IL",
            "postal_code": "624481651",
            "country_code": "US",
            "telephone_number": "618-783-7529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "FANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A. Sanders, O.D.
• Sharon Schackmann, M.S. CCC-SLP/L
• Kristina L. Schafer, RN, LMT
• Paige Nicole Schafer
• Erica Rose Schumacher, MS, CCC-SLP
• Kelsey Ann Scott, MS,CCC-SLP/L
• Julie Janeen Short, LCSW
• Bridgett Simmons, APN
• Emily Marie Smith, MS, LCPC, NCC, CCTP
• Faith Anna Smith

• Behavior Technician in Newton, IL
• Providers in Newton, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.