Alexis Scott
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Pawcatuck, CT
NPI 1154071082 · NPPES record last updated Sep 27, 2022
Key facts
- NPI
- 1154071082
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 166 Pawcatuck Ave
Pawcatuck, CT 06379-2414 - Phone
- (860) 961-0453
- NPI assigned
- Mar 24, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | CT | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | CT | Yes |
Addresses
Primary practice location
166 Pawcatuck Ave
Pawcatuck, CT 06379-2414
Mailing address
166 Pawcatuck Ave
Pawcatuck, CT 06379-2414
Phone (860) 961-0453
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All providers in Pawcatuck, CT · Student in an Organized Health Care Education/Training Program in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2022. 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.