Kelly N Scott, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

19276 Issued in TN

Practice address

2569 Douglass Ave
Memphis, TN 38114-2532

Phone

(901) 701-2550

Fax

(901) 271-6249

NPI assigned

Jan 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly N Cummins Former name

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: kelly.scott.p1@direct.luncefordfamily.nextgenshare.com

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.

• Christ Community Health Services Inc

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1891837290
  NPD (past)
• Memphis Multi Specialty Associates,LLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1669628467
  NPD (past)

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1659761609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 CENTRAL AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045905",
            "telephone_number": "901-260-8500",
            "fax_number": "901-260-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 DOUGLASS AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381142532",
            "telephone_number": "901-701-2550",
            "fax_number": "901-271-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KELLY",
        "middle_name": "N",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "19276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "CUMMINS",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Ann Scott, FNP
• Janet Elaine Scott, PHD
• Jeremy Scott, LMSW
• Kathy Garrison Scott, R.N.
• Kelley Von Scott, APN
• Leah Jeanelle Scott
• Mackenzie Hope Scott
• Mary Cassandra Scott
• Mataji Scott, CSFA
• Matthew Thomas Scott, MD

• Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.