Individual provider Active NPI

Jacqueline Joy Scott, DNP, ARNP, CNM, WHNP

  • Advanced Practice Midwife
  • Fort Cavazos, TX
National Provider Identifier
1215349071
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1001584 Issued in TX
Practice address
590 Medical Center Rd
BLDG 36065
Fort Cavazos, TX 76544
Phone
(254) 288-8109
Fax
(254) 288-8093
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1001584 TX
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN227195 GA
Maternal Newborn Registered Nurse 163WM0102X RN00172280 WA
Maternal Newborn Registered Nurse 163WM0102X RN9254519 FL
Maternal Newborn Registered Nurse 163WM0102X RN277195 GA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 002032 NY
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP60478195 WA
Advanced Practice Midwife 367A00000X AP60478195 WA
Advanced Practice Midwife 367A00000X 002032 NY
Advanced Practice Midwife 367A00000X RN277195 GA
Advanced Practice Midwife 367A00000X 1001584 TX Primary
Maternal Newborn Registered Nurse 163WM0102X 991007 TX
Maternal Newborn Registered Nurse 163WM0102X 805413 NY

Addresses

Primary practice location

590 Medical Center Rd
BLDG 36065
Fort Cavazos, TX 76544

Mailing address

3507 Abraham Dr Apt B
Killeen, TX 76549-7203
Phone (904) 536-5857

Other practice location 1

34709 9th Ave S
Suite B 500
Federal Way, WA 98003-8722
Phone (253) 835-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN9254519FLMDMaternal Newborn Registered Nurse
805413NYMDMaternal Newborn Registered Nurse
991007TXMDMaternal Newborn Registered Nurse
RN00172280WAMDMaternal Newborn Registered Nurse
RN227195GAMDObstetrics & Gynecology Nurse Practitioner
1001584TXMDAdvanced Practice Midwife
AP60478195WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Community Care, PC PastSince Jul 1, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1215349071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 ABRAHAM DR APT B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765497203",
            "telephone_number": "904-536-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER RD",
            "address_2": "BLDG 36065",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-288-8109",
            "fax_number": "254-288-8093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34709 9th Ave S",
            "address_2": "Suite B 500",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980038722",
            "country_code": "US",
            "telephone_number": "253-835-8800",
            "fax_number": "253-835-8828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JACQUELINE",
        "middle_name": "JOY",
        "credential": "DNP, ARNP, CNM, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "1001584",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "GA",
            "license": "RN227195",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "WA",
            "license": "RN00172280",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "FL",
            "license": "RN9254519",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "GA",
            "license": "RN277195",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "002032",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "WA",
            "license": "AP60478195",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60478195",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "002032",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN277195",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "1001584",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "TX",
            "license": "991007",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "NY",
            "license": "805413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Cavazos, TX

Sources for this page

Verify at the official NPI Registry.