Individual provider Active NPI

Richard Allen Scott Jr., DC, NP-C

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1609806348
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8186 Issued in AZ
Practice address
2060 W 24TH St
Yuma, AZ 85364-6123
Phone
(928) 819-8999
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8186 AZ Primary

Addresses

Primary practice location

2060 W 24TH St
Yuma, AZ 85364-6123

Mailing address

PO Box 617
Somerton, AZ 85350-0617
Phone (928) 236-8001

Other practice location 1

950 E Main St Bldg B
Somerton, AZ 85350-7409
Phone (928) 236-8001

Other identifiers 1

IdentifierTypeStateIssuer
070743MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20151116002266 AZ Practitioner - Nurse Practitioner 4183528714 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Luis Walk-in Clinic IncGroup PAC ID 2668361841, 49 clinicians
Integrated Trinity Rehabilitation PLLCGroup PAC ID 0648695536, 3 clinicians

Practice addresses (Care Compare)

1233 N Main St
Suite 1a
San Luis, AZ 85336-0663
Phone (928) 550-5514

214 W Main St
Somerton, AZ 85350-6329
Phone (928) 627-1120

2470 S Arizona Ave
Yuma, AZ 85364-8520
Phone (928) 344-8541

950 E Main St
Somerton, AZ 85350-7409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP8186AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Walk-in Clinic, Inc. CurrentSince Apr 12, 2020 Accepting new patients
Dash Medical LLC CurrentSince Nov 12, 2023 Accepting new patients
Nextcare Arizona LLC CurrentSince Jan 10, 2016 Accepting new patients
Regional Center for Border Health, Inc CurrentSince Sep 1, 2024 Accepting new patients
San Luis Walk-in Clinic, Inc. CurrentSince Apr 12, 2020 Accepting new patients
Integrated Trinity Rehabilitation PLLC CurrentSince Sep 1, 2024 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Symmetry Health Inc Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120

1130 E Main St
Somerton, AZ 85350
Phone (928) 627-2017

950 E Main St
Bldg B
Somerton, AZ 85350
Phone (928) 236-8001

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

2470 S Arizona Ave
Yuma, AZ 85364
Phone (926) 344-8541

2450 S 19th Ave
Yuma, AZ 85364
Phone (928) 344-0425

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

901 W 24th St
Yuma, AZ 85364
Phone (928) 314-8812

Interoperability endpoints

  • Direct secure messaging: richard.scott.1@11296.direct.athenahealth.com

Organizations & group practices 8

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1609806348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500617",
            "telephone_number": "928-236-8001",
            "fax_number": "928-722-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646123",
            "telephone_number": "928-819-8999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 E Main St Bldg B",
            "address_purpose": "LOCATION",
            "city": "Somerton",
            "state": "AZ",
            "postal_code": "853507409",
            "country_code": "US",
            "telephone_number": "928-236-8001",
            "fax_number": "928-722-6113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070743",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.