Active NPI
Scarlet Gould, DNP
- Family Nurse Practitioner
- Diberville, MS
National Provider Identifier
1245060813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 906675
- Practice address
- 3661 Sangani Blvd Ste D1
Diberville, MS 39540-8707 - Phone
- (228) 300-8235
- Fax
- (228) 207-1938
- NPI assigned
- Aug 7, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 906675 | MS | Primary |
Addresses
Primary practice location
3661 Sangani Blvd Ste D1
Diberville, MS 39540-8707
Mailing address
PO Box 1089
Hammond, LA 70404-1089
Phone (985) 892-7070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240827002040 | MS | Practitioner - Nurse Practitioner | 6507305166 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3661 Sangani Blvd
Diberville, MS 39540-8706
Phone (228) 300-8235
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Associates LLC | Current | Accepting new patients |
Locations
16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771
3661 Sangani Blvd
Ste D1
Diberville, MS 39540
Phone (228) 300-8235
431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440
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": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1245060813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1089",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704041089",
"telephone_number": "985-892-7070",
"fax_number": "985-892-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3661 SANGANI BLVD STE D1",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395408707",
"telephone_number": "228-300-8235",
"fax_number": "228-207-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "SCARLET",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "906675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Diberville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.