Individual provider Active NPI

Larisa Susan Scott, D.C.

  • Chiropractor
  • Winter Springs, FL
National Provider Identifier
1467857037
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11335 Issued in FL
Practice address
1100 Town Plaza CT
Ste 1020
Winter Springs, FL 32708-6231
Phone
(407) 901-7704
Fax
(407) 288-8582
NPI assigned
Oct 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11335 FL Primary

Addresses

Primary practice location

1100 Town Plaza CT
Ste 1020
Winter Springs, FL 32708-6231

Mailing address

1100 Town Plaza CT
Ste 1020
Winter Springs, FL 32708-6231
Phone (407) 901-7704

Other names 1

  • Dr. Larisa Susan Titera Former 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH11335FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1467857037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 TOWN PLAZA CT",
            "address_2": "STE 1020",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086231",
            "telephone_number": "407-901-7704",
            "fax_number": "407-288-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TOWN PLAZA CT",
            "address_2": "STE 1020",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086231",
            "telephone_number": "407-901-7704",
            "fax_number": "407-288-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LARISA",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-25",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISA",
            "last_name": "TITERA",
            "middle_name": "SUSAN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.