NPIMap

Individual provider Active NPI

Alicia D Scoggins, FNCP

  • Acute Care Nurse Practitioner
  • Woodville, TX
National Provider Identifier
1407899495
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
564484 Issued in TX
Practice address
900 West Bluff
Woodville, TX 75979-0900
Phone
(409) 331-0202
Fax
(409) 331-0222
NPI assigned
Jun 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 564484 TX Primary

Addresses

Primary practice location

900 West Bluff
Woodville, TX 75979-0900

Mailing address

900 West Bluff
Woodville, TX 75979-0900
Phone (409) 331-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130801000075 TX Practitioner - Nurse Practitioner 1951542133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dmctx1, PLLCGroup PAC ID 1052650249, 4 clinicians

Practice addresses (Care Compare)

703 W Bluff St
Woodville, TX 75979-5131
Phone (409) 200-2811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
564484TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winnie Community Hospital LLC Current Accepting new patients
Winnie Community Hospital, L.L.C. CurrentSince Jan 31, 2018 Accepting new patients
Dmctx1, PLLC CurrentSince Oct 16, 2023 Accepting new patients
Winnie Community Hospital, L.L.C. CurrentSince Jan 31, 2018 Accepting new patients
Memorial Multispecialty Associates Acute Care PastSince Aug 1, 2016 Accepting new patients
Baylor St. Luke's Medical Group Acute Care PastSince Oct 1, 2017 Accepting new patients

Locations

85 Interstate 10 N
Ste 112
Beaumont, TX 77707
Phone (409) 239-5139

538 Broadway
Winnie, TX 77665
Phone (409) 296-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407899495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WEST BLUFF",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759790900",
            "telephone_number": "409-331-0202",
            "fax_number": "409-331-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WEST BLUFF",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759790900",
            "telephone_number": "409-331-0202",
            "fax_number": "409-331-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGGINS",
        "first_name": "ALICIA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "FNCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "564484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, TX

Sources for this page

Verify at the official NPI Registry.