Active NPI
Crystal Scott, MS, FNP
- Diabetes Educator Registered Nurse
- Las Vegas, NV
National Provider Identifier
1174169486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 831137
- Practice address
- 6539 Las Vegas Blvd S
Las Vegas, NV 89119-3222 - Phone
- (702) 755-2017
- Fax
- (205) 449-6697
- NPI assigned
- Nov 21, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 46673 | AZ | |
| Diabetes Educator Registered Nurse | 163WD0400X | 831137 | NV | Primary |
Addresses
Primary practice location
6539 Las Vegas Blvd S
Las Vegas, NV 89119-3222
Mailing address
7725 N 43Rd Ave Ste 111
Phoenix, AZ 85051-5775
Phone (623) 931-9201
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP139739 | Other | NV | FAMILY NURSE PRACTITIONER |
| 926491 | Other | AZ | REGISTERD DIETITAN |
| 831137 | Other | NV | REGISTERED NURSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46673 | AZ | MD | Registered Dietitian |
| 831137 | NV | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1174169486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7725 N 43RD AVE STE 111",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850515775",
"telephone_number": "623-931-9201",
"fax_number": "623-931-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6539 LAS VEGAS BLVD S",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891193222",
"telephone_number": "702-755-2017",
"fax_number": "205-449-6697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "CRYSTAL",
"credential": "MS, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-21",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "46673",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NV",
"license": "831137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY NURSE PRACTITIONER",
"identifier": "AP139739",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERD DIETITAN",
"identifier": "926491",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "831137",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.