Stephanie D Scott, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

199074 Issued in TX

Practice address

1102 N Galloway Ave
Mesquite, TX 75149-2436

Phone

(469) 518-7853

Fax

(469) 232-9917

NPI assigned

Dec 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1548857485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 N CENTRAL EXPY, #109 PMB 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312215",
            "telephone_number": "469-518-7853",
            "fax_number": "469-232-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492436",
            "telephone_number": "469-518-7853",
            "fax_number": "469-232-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-27",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "199074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Brooke Schubert
• Katherine Elizabeth Schultheiss, PA
• Anna Sciortino, CPNP-AC
• Jenifer Scott, P.T.
• Kenneth W Scott, TECH
• Vivian Gail Scott, LPC
• SDC Holdings, LLC
• Ladonna Seamster
• Jordan Segovia
• Fayez G Seif, MD

• Surgical Assistant in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.