Individual provider Active NPI

Paula Kay Scoggins, FNP-C, MSN

  • Primary Care Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1437474129
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP3603 Issued in AZ
Practice address
4221 W Villa Rita Dr
Glendale, AZ 85308-2514
Phone
(209) 733-0230
NPI assigned
Apr 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP3603 AZ Primary

Addresses

Primary practice location

4221 W Villa Rita Dr
Glendale, AZ 85308-2514

Mailing address

4221 W Villa Rita Dr
Glendale, AZ 85308-2514
Phone (209) 733-0230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20210629002066 OR Order and Referring Only - Nurse Practitioner 8426350703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1437474129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 W VILLA RITA DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082514",
            "telephone_number": "209-733-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 W VILLA RITA DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082514",
            "telephone_number": "209-733-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGGINS",
        "first_name": "PAULA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP3603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.