Active NPI
Micah Sheila Scott, APRN
- Nurse Practitioner
- Brandon, FL
National Provider Identifier
1194314856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11011230
- Practice address
- 123 W Bloomingdale Ave Ste 3
Brandon, FL 33511-7400 - Phone
- (813) 410-2258
- NPI assigned
- Jan 15, 2021
- Last updated
- May 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11011230 | FL | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 11011230 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | 11011230 | FL |
Addresses
Primary practice location
123 W Bloomingdale Ave Ste 3
Brandon, FL 33511-7400
Mailing address
123 W Bloomingdale Ave Ste 3
Brandon, FL 33511-7400
Phone (813) 410-2258
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11011230 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifepath Hospice, Inc. | Past | Accepting new patients | |
| Lifepath Hospice and Palliative Care Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Good Shepherd Hospice
- Community Based Hospice Care Agency
- Temple Terrace, FL
- NPI 1235120197
-
dba LifePath Hospice
- Community Based Hospice Care Agency
- Temple Terrace, FL
- NPI 1124171350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1194314856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 W BLOOMINGDALE AVE STE 3",
"city": "BRANDON",
"state": "FL",
"postal_code": "335117400",
"telephone_number": "813-410-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W BLOOMINGDALE AVE STE 3",
"city": "BRANDON",
"state": "FL",
"postal_code": "335117400",
"telephone_number": "813-410-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MICAH",
"middle_name": "SHEILA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-15",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11011230",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "11011230",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11011230",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.