Individual provider Active NPI

Letisha S Scott, CRNP

  • Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1427315746
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN 1-105883 Issued in AL
Practice address
2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235
Phone
(205) 349-3250
Fax
(205) 345-3993
NPI assigned
Apr 12, 2012
Last updated
Apr 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN 1-105883 AL Primary
Community Health Nurse Practitioner 363LC1500X RN 1 105883 AL

Addresses

Primary practice location

2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235

Mailing address

2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235
Phone (205) 349-3250

Other identifiers 1

IdentifierTypeStateIssuer
RN 1-105883OtherALRN LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120607000097 AL Practitioner - Nurse Practitioner 7810151628 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 1-105883ALMDNurse Practitioner
RN 1 105883ALMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services Inc CurrentSince Aug 15, 2019 Accepting new patients
Whatley Health Services, Inc. CurrentSince Aug 15, 2019 Accepting new patients

Locations

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

Interoperability endpoints

  • Direct secure messaging: lscott599806@direct.ochin.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1427315746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 ML KING JR BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354015235",
            "telephone_number": "205-349-3250",
            "fax_number": "205-345-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 ML KING JR BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354015235",
            "telephone_number": "205-349-3250",
            "fax_number": "205-345-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LETISHA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "RN 1-105883",
            "primary": true
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "AL",
            "license": "RN 1 105883",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER",
            "identifier": "RN 1-105883",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.