Caressa Latia Scott, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

306916031 Issued in WI

Practice address

2302 W Sunbury CT
Milwaukee, WI 53215-4850

Phone

(414) 550-9041

NPI assigned

Aug 26, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Heavenly Grace Health Services LLC

  • Home Health Agency
  • Sheboygan, WI
  • NPI 1568313120
  NPD Authorized official

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1396978276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 W SUNBURY CT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154850",
            "telephone_number": "414-550-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W SUNBURY CT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154850",
            "telephone_number": "414-550-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CARESSA",
        "middle_name": "LATIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "306916031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Scott
• Ann E Scott, NP
• Ann P Scott, PA
• Aquillas Lashonda Scott, LMT
• Bethany T Scott, PNP
• Caroline Ellis Scott
• Christopher Patrick Scott, MD
• Danielle Scott, RN, MSN FNP-C
• Dyneen Marie Scott, APSW
• Jamie Nicole Scott, PTA

• Licensed Practical Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.