Active NPI
Elizabeth Scott, APRN
- Family Nurse Practitioner
- Half Moon Bay, CA
National Provider Identifier
1265787170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 005077
- Practice address
- 225 Cabrillo Hwy South
Suite 100a
Half Moon Bay, CA 94019 - Phone
- (203) 237-2229
- NPI assigned
- Jul 17, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 99543 | CT | |
| Family Nurse Practitioner | 363LF0000X | 005077 | CT | Primary |
Addresses
Primary practice location
225 Cabrillo Hwy South
Suite 100a
Half Moon Bay, CA 94019
Mailing address
225 Cabrillo Hwy South
Suite 100a
Half Moon Bay, CA 94019
Phone (860) 347-6971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004236346 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99543 | CT | MD | Registered Nurse |
| 95095245 | CA | MD | Diabetes Educator Registered Nurse |
| 005077 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients |
Locations
225 Cabrillo Hwy S
Ste 100A
Half Moon Bay, CA 94019
Phone (650) 712-7330
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
Interoperability endpoints
- escott21278@smch.direct-ci.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1679642326
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1831268580
-
- Community/Behavioral Health Agency
- Redwood City, CA
- NPI 1528432481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1265787170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 CABRILLO HWY SOUTH",
"address_2": "SUITE 100A",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "94019",
"telephone_number": "860-347-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CABRILLO HWY SOUTH",
"address_2": "SUITE 100A",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "94019",
"telephone_number": "203-237-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "ELIZABETH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "99543",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "005077",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004236346",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Half Moon Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.