Active NPI
Matthew Scott
- Community Health Worker
- Anchorage, AK
National Provider Identifier
1417834045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 2204042
- Practice address
- 729 E 9TH Ave
Anchorage, AK 99501-3738 - Phone
- (907) 615-1300
- NPI assigned
- Aug 18, 2025
- Last updated
- Aug 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 2204042 | AK | Primary |
Addresses
Primary practice location
729 E 9TH Ave
Anchorage, AK 99501-3738
Mailing address
6800 Queens View Cir
Anchorage, AK 99504-5202
Phone (907) 615-1300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2204042 | AK | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1417834045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 QUEENS VIEW CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995045202",
"telephone_number": "907-615-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 E 9TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995013738",
"telephone_number": "907-615-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "AK",
"license": "2204042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.