Individual provider Active NPI

Tina S Carrol-Scott, M.D

  • Pediatrics Physician
  • South Miami, FL
National Provider Identifier
1417088360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME67630 Issued in FL
Practice address
6701 SW 58TH PL
South Miami, FL 33143-3699
Phone
(305) 662-5988
Fax
(305) 662-5589
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME67630 FL Primary

Addresses

Primary practice location

6701 SW 58TH PL
South Miami, FL 33143-3699

Mailing address

6701 SW 58TH PL
South Miami, FL 33143-3699
Phone (305) 662-5988

Other names 1

  • Miss Tina S Carrol Other name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME67630FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Childrens Clinic Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tina.carroll-scott.1@23886.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23886/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417088360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 SW 58TH PL",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433699",
            "telephone_number": "305-662-5988",
            "fax_number": "305-662-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 SW 58TH PL",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433699",
            "telephone_number": "305-662-5988",
            "fax_number": "305-662-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROL-SCOTT",
        "first_name": "TINA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME67630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "CARROL",
            "middle_name": "S",
            "prefix": "MISS",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.