Individual provider Active NPI

Scott Skoglund

  • Pediatric Registered Nurse
  • Seattle, WA
National Provider Identifier
1528577285
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
RN60386700 Issued in WA
Practice address
144 NW 80TH St
Seattle, WA 98117-3052
Phone
(206) 252-1407
Fax
(206) 743-3126
NPI assigned
Sep 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X RN60386700 WA Primary

Addresses

Primary practice location

144 NW 80TH St
Seattle, WA 98117-3052

Mailing address

6215 Phinney Ave N Apt 307
Seattle, WA 98103-5572
Phone (425) 614-6865

Other practice location 1

10525 3rd Ave NW
Seattle, WA 98177-4809
Phone (206) 252-4407

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN60386700WAMDPediatric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1528577285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 PHINNEY AVE N APT 307",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035572",
            "telephone_number": "425-614-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 NW 80TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173052",
            "telephone_number": "206-252-1407",
            "fax_number": "206-743-3126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10525 3rd Ave NW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981774809",
            "country_code": "US",
            "telephone_number": "206-252-4407",
            "fax_number": "206-252-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOGLUND",
        "first_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "WA",
            "license": "RN60386700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.