Patrice Scott

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

1423 Broadway # 1039
Oakland, CA 94612-2054

Phone

(415) 734-7595

NPI assigned

May 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Lexy Lush Cosmetics LLC

  • Prosthetic/Orthotic Supplier
  • Oakland, CA
  • NPI 1821789439
  NPD Authorized official

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1669163176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 BROADWAY # 1039",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122054",
            "telephone_number": "415-734-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 BROADWAY # 1039",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122054",
            "telephone_number": "415-734-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "PATRICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@manemedics.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1423 Broadway # 1039",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946122054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Garry Malachi Scott
• Joanna Scott
• Juliet Sylvia Scott
• Kendra Alexandra Scott, REGISTERED NURSE
• Kristina Scott, AMFT #125384
• Sarah Kaye Scott, R.N.
• Sarah Marjorie Scott, LMFT
• Shawn C Scott
• Sonya Yevette Scott
• Stephanie A. Scott, MD

• Prosthetic/Orthotic Supplier in Oakland, CA
• Providers in Oakland, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.