Active NPI
Lindsey Scott, PA-C
- Physician Assistant
- Pocatello, ID
National Provider Identifier
1154481224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA525
- Practice address
- 1901 Alvin Ricken Dr
Pocatello, ID 83201-2727 - Phone
- (208) 233-9080
- Fax
- (208) 478-9297
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA525 | ID | Primary |
Addresses
Primary practice location
1901 Alvin Ricken Dr
Pocatello, ID 83201-2727
Mailing address
1901 Alvin Ricken Dr
Pocatello, ID 83201-2727
Phone (208) 233-9080
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA525 | ID | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1154481224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 ALVIN RICKEN DR",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012727",
"telephone_number": "208-233-9080",
"fax_number": "208-478-9297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 ALVIN RICKEN DR",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012727",
"telephone_number": "208-233-9080",
"fax_number": "208-478-9297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "LINDSEY",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.