Active NPI
Melissa Ann Scott, PA-C
- Medical Physician Assistant
- Orlando, FL
National Provider Identifier
1245511591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9106125
- Practice address
- 4098 Libra Dr
Orlando, FL 32816-5722 - Phone
- (407) 823-2701
- NPI assigned
- Aug 31, 2011
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9106125 | FL | Primary |
Addresses
Primary practice location
4098 Libra Dr
Orlando, FL 32816-5722
Mailing address
235 N Westmonte Dr
Altamonte Springs, FL 32714-3345
Phone (407) 389-5300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FO861Z | Other | FL | MEDICARE IDENTIFICATION NUMBER |
| 004122300 | Medicaid | FL |
Other names 1
- Melissa Ann Crabb
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
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1245511591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 N WESTMONTE DR",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327143345",
"telephone_number": "407-389-5300",
"fax_number": "407-389-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4098 LIBRA DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328165722",
"telephone_number": "407-823-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-31",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9106125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IDENTIFICATION NUMBER",
"identifier": "FO861Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004122300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "CRABB",
"middle_name": "ANN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.