Suzanne N/a Scott

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

26752 Issued in MS

Practice address

507 Avenue J
Greenwood, MS 38930-6311

Phone

(662) 299-7513

NPI assigned

Aug 20, 2024

Reactivated

Apr 21, 2025

Last updated

Apr 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1184457756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 AVENUE J",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389306311",
            "telephone_number": "662-299-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 AVENUE J",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389306311",
            "telephone_number": "662-299-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SUZANNE",
        "middle_name": "N/A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2025-04-21",
        "certification_date": "2024-08-20",
        "deactivation_date": "2024-09-23",
        "reactivation_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MS",
            "license": "26752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Detrini Vershun Russell
• S H Lambdin MD PLLC
• Neeka Sanders, MD
• Jenny S Schmitz, OTR/L
• Nakeitha Scott
• Second Chance Healthcare
• Melvin L Self Jr., CRNA
• Adriana Velez Sellers, OTR
• Sarah Shanks, PHARMD
• Amanda Nicola Shannon-Kline

• Nurse's Aide in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Nurse's Aide in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.