Active NPI
Debra Scott I
- Other Technician
- Palm City, FL
National Provider Identifier
1245698166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- MA52620
- Practice address
- 3007 SW Martin Downs Blvd
Palm City, FL 34990-2644 - Phone
- (772) 288-6456
- NPI assigned
- Feb 5, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | MA52620 | FL | Primary |
Addresses
Primary practice location
3007 SW Martin Downs Blvd
Palm City, FL 34990-2644
Mailing address
9486 SW Purple Martin Way
Stuart, FL 34997-8967
Phone (817) 422-1227
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA52620 | FL | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1245698166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9486 SW PURPLE MARTIN WAY",
"city": "STUART",
"state": "FL",
"postal_code": "349978967",
"telephone_number": "817-422-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 SW MARTIN DOWNS BLVD",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349902644",
"telephone_number": "772-288-6456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "DEBRA",
"name_suffix": "I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "FL",
"license": "MA52620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.