Active NPI
Scott L Nelson, FNP
- Nurse Practitioner
- Nacogdoches, TX
National Provider Identifier
1447312657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP107495
- Practice address
- 1106 South St
Nacogdoches, TX 75964-5986 - Phone
- (936) 564-8611
- Fax
- (936) 462-8489
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP107495 | TX | Primary |
Addresses
Primary practice location
1106 South St
Nacogdoches, TX 75964-5986
Mailing address
PO Box 94670
Oklahoma City, OK 73143-4670
Phone (405) 682-3303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018885601 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP107495 | TX | MD | Nurse Practitioner |
Interoperability endpoints
- scott.nelson.1@18601.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1447312657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94670",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731434670",
"telephone_number": "405-682-3303",
"fax_number": "405-384-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 SOUTH ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759645986",
"telephone_number": "936-564-8611",
"fax_number": "936-462-8489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SCOTT",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP107495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018885601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.