Individual provider Active NPI

Heather R Scarborough, RN

  • Plastic Surgery Registered Nurse
  • Saint Peters, MO
National Provider Identifier
1245755792
Registry record updated Aug 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Registered NurseTaxonomy code 163WS0121X
License
2005029851 Issued in MO
Practice address
2 Richmond Center CT
Saint Peters, MO 63376-5973
Phone
(636) 397-2001
Fax
(636) 279-2010
NPI assigned
Aug 6, 2017
Last updated
Aug 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Registered Nurse 163WS0121X 2005029851 MO Primary

Addresses

Primary practice location

2 Richmond Center CT
Saint Peters, MO 63376-5973

Mailing address

2 Richmond Center CT
Saint Peters, MO 63376-5973
Phone (636) 397-2001

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2005029851MOMDPlastic Surgery Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Consultants, LTD. Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501977600000",
    "number": "1245755792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RICHMOND CENTER CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765973",
            "telephone_number": "636-397-2001",
            "fax_number": "636-279-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RICHMOND CENTER CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765973",
            "telephone_number": "636-397-2001",
            "fax_number": "636-279-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBOROUGH",
        "first_name": "HEATHER",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-06",
        "last_updated": "2017-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "MO",
            "license": "2005029851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.