Active NPI
Jeanine Ann Scott, CRNFA
- Registered Nurse
- Keizer, OR
National Provider Identifier
1366514267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 079011458
- Practice address
- 7315 Laurelridge Loop NE
Keizer, OR 97303-7214 - Phone
- (503) 510-9252
- NPI assigned
- Nov 15, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 079011458 | OR | Primary |
Addresses
Primary practice location
7315 Laurelridge Loop NE
Keizer, OR 97303-7214
Mailing address
7315 Laurelridge Loop NE
Keizer, OR 97303-7214
Phone (503) 510-9252
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 |
|---|---|---|---|
| 079011458 | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1366514267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7315 LAURELRIDGE LOOP NE",
"city": "KEIZER",
"state": "OR",
"postal_code": "973037214",
"telephone_number": "503-510-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7315 LAURELRIDGE LOOP NE",
"city": "KEIZER",
"state": "OR",
"postal_code": "973037214",
"telephone_number": "503-510-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JEANINE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CRNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "079011458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.