Active NPI
Katscott LLC
- Family Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1407133663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9172712
- Legal business name
- KATSCOTT LLC
- Practice address
- 4217 Baymeadows Rd
Suite 3
Jacksonville, FL 32217-4676 - Phone
- (904) 332-7431
- Fax
- (904) 332-7408
- NPI assigned
- Nov 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katrina Beth Scott, ARNP
- Title
- Nurse Practitioner
- Phone
- (904) 705-3798
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9172712 | FL | Primary |
Addresses
Primary practice location
4217 Baymeadows Rd
Suite 3
Jacksonville, FL 32217-4676
Mailing address
4217 Baymeadows Rd
Suite 3
Jacksonville, FL 32217-4676
Phone (904) 332-7431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Jacksonville, FL
- NPI 1952693103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327017600000",
"number": "1407133663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4217 BAYMEADOWS RD",
"address_2": "SUITE 3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322174676",
"telephone_number": "904-332-7431",
"fax_number": "904-332-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4217 BAYMEADOWS RD",
"address_2": "SUITE 3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322174676",
"telephone_number": "904-332-7431",
"fax_number": "904-332-7408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATSCOTT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-15",
"last_updated": "2012-01-20",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "KATRINA",
"authorized_official_middle_name": "BETH",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "904-705-3798",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9172712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.