Individual provider Active NPI

Kaitlin Stutts Scott, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1477205409
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9996 Issued in AZ
Practice address
1218 W Irvington Rd Ste 150
Tucson, AZ 85714-1137
Phone
(520) 829-6442
Fax
(888) 972-1912
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9996 AZ Primary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X

Addresses

Primary practice location

1218 W Irvington Rd Ste 150
Tucson, AZ 85714-1137

Mailing address

2100 Franklin St Ste 355
Oakland, CA 94612-3140
Phone (844) 234-7741

Other practice location 1

811 W Interstate 20 Ste 120
Arlington, TX 76017-5871
Phone (817) 468-3393

Other names 1

  • Kaitlin Taylor Stutts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220307001777 TX Practitioner - Physician Assistant 6002200185 Reassigns benefits to 1 organization
I20240110004322 AZ Practitioner - Physician Assistant 6002200185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Southwestern Medical School at Dallas, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Urgent Care LLCGroup PAC ID 9830506062, 70 clinicians

Practice addresses (Care Compare)

1040 S Harrison Rd
Suite 120
Tucson, AZ 85748-6601
Phone (520) 989-8255

1218 W Irvington Rd
Suite 150
Tucson, AZ 85714-1137
Phone (520) 989-8257

3870 W River Rd
Suite 126
Tucson, AZ 85741-3080
Phone (520) 219-6616

6572 E Grant Rd
Suite 130
Tucson, AZ 85715-3810
Phone (520) 989-8259

7725 N Oracle Rd
Suite 131
Oro Valley, AZ 85704-6987
Phone (520) 989-8253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas PLLC CurrentSince Mar 14, 2022 Accepting new patients
Medical Clinic of North Texas, PLLC Single Specialty CurrentSince Mar 14, 2022 Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Jan 15, 2024 Accepting new patients

Locations

1218 W Irvington Rd
Ste 150
Tucson, AZ 85714
Phone (520) 829-6442

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

811 W Interstate 20
Ste 120
Arlington, TX 76017
Phone (817) 468-3393

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

Interoperability endpoints

  • Direct secure messaging: kaitlin.scott.1@1576.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1477205409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 FRANKLIN ST STE 355",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123140",
            "telephone_number": "844-234-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W IRVINGTON RD STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857141137",
            "telephone_number": "520-829-6442",
            "fax_number": "888-972-1912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 W Interstate 20 Ste 120",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760175871",
            "country_code": "US",
            "telephone_number": "817-468-3393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KAITLIN",
        "middle_name": "STUTTS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9996",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "STUTTS",
            "middle_name": "TAYLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.