Kimberly D. Scott

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

3012088 Issued in KY

Practice address

1025 Sanibel Way Ste E
La Grange, KY 40031-9156

Phone

(150) 276-2674

NPI assigned

Feb 27, 2018

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

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": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1659872455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 BONNYCASTLE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051019",
            "telephone_number": "502-762-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SANIBEL WAY STE E",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319156",
            "telephone_number": "150-276-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KIMBERLY",
        "middle_name": "D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3012088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garret Scaman
• Katherine L Schewe, PA-C
• Makailyn Grace Schoonover, PA-C
• Susan Schulte, LCSW, LCADC
• Julie M. Schuster, M.D.
• Rebekah Grace Scott, PT, DPT
• Melanie Seay, APRN, FNP-C
• Julie Nicole Sergent, PT, DPT
• Julia A Seward, CSFA
• Bernice Shaw

• Primary Care Nurse Practitioner in La Grange, KY
• Providers in La Grange, KY by specialty
• Primary Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.