Individual provider Active NPI

Shannon Marie Scott, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1487207254
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.025148 Issued in OH
Practice address
930 Bethesda Dr Unit 4
Zanesville, OH 43701-0815
Phone
(740) 487-0077
NPI assigned
Jul 22, 2019
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.025148 OH Primary

Addresses

Primary practice location

930 Bethesda Dr Unit 4
Zanesville, OH 43701-0815

Mailing address

3902 Old Coopermill Rd
Zanesville, OH 43701-7809
Phone (740) 297-3076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190910002171 OH Practitioner - Nurse Practitioner 6103154810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Ohio Behavioral Health LLCGroup PAC ID 7214212695, 19 clinicians
Ohio Psychiatric Associates, IncGroup PAC ID 9537192380, 8 clinicians

Practice addresses (Care Compare)

1515 E Broad St
Columbus, OH 43205-1550
Phone (740) 569-5737

975 Bethesda Dr
BLDG 7
Zanesville, OH 43701-7500
Phone (740) 452-4539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025148OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Oct 6, 2021 Accepting new patients
Mid-Ohio Behavioral Health LLC CurrentSince Nov 23, 2020 Accepting new patients

Locations

1515 E Broad St
Columbus, OH 43205
Phone (614) 251-6941

1890 Northwest Blvd
Ste 140
Columbus, OH 43212
Phone (614) 515-6291

930 Bethesda Dr
Zanesville, OH 43701
Phone (740) 452-4848

930 Bethesda Dr
Unit 4
Zanesville, OH 43701
Phone (740) 455-6202

975 Bethesda Dr
Bldg 7
Zanesville, OH 43701
Phone (740) 452-4539

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/midohiobh/r4/

Organizations & group practices 3

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1487207254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 OLD COOPERMILL RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017809",
            "telephone_number": "740-297-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BETHESDA DR UNIT 4",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010815",
            "telephone_number": "740-487-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.025148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.