Individual provider Active NPI

Melody Lynette Scott, CMF

  • Mastectomy Fitter
  • Bossier City, LA
National Provider Identifier
1609330794
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
License
C53163 Issued in LA
Practice address
223 Evangeline Walk
Bossier City, LA 71111-5475
Phone
(318) 294-0049
Fax
(318) 746-1533
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy Fitter 224900000X C53163 LA Primary

Addresses

Primary practice location

223 Evangeline Walk
Bossier City, LA 71111-5475

Mailing address

223 Evangeline Walk
Bossier City, LA 71111-5475
Phone (318) 294-0049

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
C53163LAMDMastectomy Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Beautiful Body & More, LLC Mastectomy Fitter PastSince Aug 6, 2019 Accepting new patients

Organizations & group practices 1

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": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1609330794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 EVANGELINE WALK",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115475",
            "telephone_number": "318-294-0049",
            "fax_number": "318-746-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 EVANGELINE WALK",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115475",
            "telephone_number": "318-294-0049",
            "fax_number": "318-746-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MELODY",
        "middle_name": "LYNETTE",
        "credential": "CMF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "LA",
            "license": "C53163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.