NPIMap

Individual provider Active NPI

Tracey Lynn Scott, WHNP-BC, BSN, MSN

  • Women's Health Nurse Practitioner
  • Hawthorne, CA
National Provider Identifier
1578600185
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
17002 Issued in CA
Practice address
4455 W 117TH St Ste 200
Hawthorne, CA 90250-2240
Phone
(626) 457-5515
Fax
(626) 457-6923
NPI assigned
Jan 31, 2007
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 61409 WV
Women's Health Nurse Practitioner 363LW0102X 17002 CA Primary

Addresses

Primary practice location

4455 W 117TH St Ste 200
Hawthorne, CA 90250-2240

Mailing address

4455 W 117TH St Ste 200
Hawthorne, CA 90250-2240
Phone (626) 457-5515

Other names 1

  • Tracey Lynn Scott Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180430000166 CA Practitioner - Nurse Practitioner 2961766902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

422 Arneill Rd B
Camarillo, CA 93010-6434
Phone (805) 383-4510

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17002CAMDClinical Psychologist
61409WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Feb 1, 2024 Accepting new patients
Community Memorial Health System Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 3, 2023 Accepting new patients
Community Memorial Health System CurrentSince Feb 1, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 3, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

Interoperability endpoints

  • Direct secure messaging: traceyscott@cfh.allscriptsdirect.net
  • Direct secure messaging: tscott3518461@oc.providencedirect.org

Organizations & group practices 6

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1578600185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 W 117TH ST STE 200",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502240",
            "telephone_number": "626-457-5515",
            "fax_number": "626-457-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 W 117TH ST STE 200",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502240",
            "telephone_number": "626-457-5515",
            "fax_number": "626-457-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC, BSN, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-09-26",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "61409",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "17002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "25825 Vermont Ave",
            "city": "Harbor City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907103518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "SCOTT",
            "middle_name": "LYNN",
            "credential": "WHNP-BC, BSN, MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.