Individual provider Active NPI

Tara Leila Scott, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Edmonds, WA
National Provider Identifier
1386257491
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61231851 Issued in WA
Practice address
21727 76TH Ave W Ste C
Edmonds, WA 98026-7549
Phone
(206) 677-8167
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP61231851 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X RN60636066 WA

Addresses

Primary practice location

21727 76TH Ave W Ste C
Edmonds, WA 98026-7549

Mailing address

21727 76TH Ave W Ste C
Edmonds, WA 98026-7549
Phone (206) 677-8167

Other practice location 1

884 W Park Ave
Port Townsend, WA 98368-2273
Phone (360) 385-0321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124000597 WA Practitioner - Nurse Practitioner 3274904610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

21727 76TH Ave W
Suite C
Edmonds, WA 98026-7549
Phone (253) 475-6021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61231851WAMDPsychiatric/Mental Health Nurse Practitioner
RN60636066WAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Community Counseling Center Multi-Specialty CurrentSince Aug 1, 2020 Accepting new patients
Western Psychological and Counseling Services LLC Multi-Specialty PastSince Aug 28, 2022 Accepting new patients
Madrona Institute of Washington Multi-Specialty PastSince Aug 1, 2020 Accepting new patients

Locations

884 W Park Ave
Port Townsend, WA 98368
Phone 3603850321201

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.tarascott@147765.advancedmd-direct.com
  • FHIR API: https://api.qualifacts.org/api/fhir/discoverybh/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1386257491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21727 76TH AVE W STE C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267549",
            "telephone_number": "206-677-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21727 76TH AVE W STE C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267549",
            "telephone_number": "206-677-8167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "884 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983682273",
            "country_code": "US",
            "telephone_number": "360-385-0321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TARA",
        "middle_name": "LEILA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61231851",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "RN60636066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.