Individual provider Active NPI

Naomy Leilani Scoggins

  • Counselor
  • Tacoma, WA
National Provider Identifier
1255039509
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
WDL36BRDC338 Issued in WA
Practice address
815 S Pearl St
Tacoma, WA 98465-2117
Phone
(253) 677-0102
NPI assigned
Feb 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X WDL36BRDC338 WA Primary

Addresses

Primary practice location

815 S Pearl St
Tacoma, WA 98465-2117

Mailing address

2029 S 19TH St
Tacoma, WA 98405-2920
Phone (564) 219-5546

Other practice location 1

1305 Tacoma Ave S
Tacoma, WA 98402-1903
Phone (253) 396-5800

Other identifiers 1

IdentifierTypeStateIssuer
10017241OtherWAREGENCE

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

LicenseStateTypeSpecialty
WDL36BRDC338WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1255039509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052920",
            "telephone_number": "564-219-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S PEARL ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984652117",
            "telephone_number": "253-677-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Tacoma Ave S",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021903",
            "country_code": "US",
            "telephone_number": "253-396-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOGGINS",
        "first_name": "NAOMY",
        "middle_name": "LEILANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "WDL36BRDC338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "10017241",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.