Scott K Roberts
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Rutledge, TN
NPI 1144723636 · NPPES record last updated Mar 12, 2018
Key facts
- NPI
- 1144723636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- License
- 045038696 (TN)
- Practice address
- 2650 Holston River Dr
Rutledge, TN 37861-4330 - Phone
- (865) 828-6450
- Fax
- (865) 828-6450
- NPI assigned
- Mar 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045038696 | TN | MD | Non-emergency Medical Transport (VAN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 045038696 | TN | Yes |
Addresses
Primary practice location
2650 Holston River Dr
Rutledge, TN 37861-4330
Mailing address
2650 Holston River Dr
Rutledge, TN 37861-4330
Phone (865) 828-6450
Other providers in Rutledge, TN
- Whitney Atkins McElhaney
- Trina Phelps
- Alexis Potter
- Kristaline Suzanne Pratt
- Rehab Group of Morristown, Inc.
- Sharon S Roberts
- Macey Rose
- Rutledge Medical Clinic Incorporated
- State of Tennessee
- Kayla Marie Stooksbury
All providers in Rutledge, TN · Non-emergency Medical Transport (VAN) in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.