Individual provider Active NPI

Kamryn Blaire Scroggins

  • Behavior Analyst
  • Metairie, LA
National Provider Identifier
1134816549
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-23-267232 Issued in LA
Practice address
2901 Ridgelake Dr Ste 102
Metairie, LA 70002-4946
Phone
(504) 354-8078
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RBT-23-267232 LA Primary

Addresses

Primary practice location

2901 Ridgelake Dr Ste 102
Metairie, LA 70002-4946

Mailing address

11604 Shoal Landing St
Pearland, TX 77584-8749
Phone (832) 396-1170

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-23-267232LAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Chatternola CurrentSince Apr 23, 2023 Accepting new patients

Locations

2901 Ridgelake Dr
Ste 102
Metairie, LA 70002
Phone (504) 354-8078

Organizations & group practices 1

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": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1134816549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11604 SHOAL LANDING ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848749",
            "telephone_number": "832-396-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 RIDGELAKE DR STE 102",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024946",
            "telephone_number": "504-354-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCROGGINS",
        "first_name": "KAMRYN",
        "middle_name": "BLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "RBT-23-267232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.