Active NPI
Lori Kimberly Scott, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1235603606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 123944
- Practice address
- 4320 Avalon CT
Oklahoma City, OK 73120-8175 - Phone
- (405) 328-4380
- NPI assigned
- Jan 18, 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 123944 | OK | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 123944 | OK | Primary |
Addresses
Primary practice location
4320 Avalon CT
Oklahoma City, OK 73120-8175
Mailing address
12101 N Macarthur Blvd
Oklahoma City, OK 73162-1800
Phone (405) 328-4380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123944 | OK | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | Accepting new patients |
Locations
220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355
550 W Shawnee St
Muskogee, OK 74401
Phone (908) 910-5186
7127 S Olympia Ave
Tulsa, OK 74132
Phone (918) 665-9500
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Lawton, OK
- NPI 1346608809
-
- Rural Health Clinic/Center
- Collinsville, OK
- NPI 1215751508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1235603606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12101 N MACARTHUR BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731621800",
"telephone_number": "405-328-4380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 AVALON CT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208175",
"telephone_number": "405-328-4380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "LORI",
"middle_name": "KIMBERLY",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-18",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OK",
"license": "123944",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OK",
"license": "123944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000000",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.