Individual provider Active NPI

Katrina A Scott, M.ED.CCC-SLP

  • Speech-Language Pathologist
  • Greenville, NC
National Provider Identifier
1679891931
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7090 Issued in NC
Practice address
1634 Black Jack Simpson Rd
Greenville, NC 27858-8388
Phone
(252) 578-3468
Fax
(252) 364-2454
NPI assigned
May 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7090 NC Primary

Addresses

Primary practice location

1634 Black Jack Simpson Rd
Greenville, NC 27858-8388

Mailing address

1634 Black Jack Simpson Rd
Greenville, NC 27858-8388
Phone (252) 578-3468

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
7090NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Better Communicators-BBC Inc Speech-Language Pathologist Past 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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1679891931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 BLACK JACK SIMPSON RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588388",
            "telephone_number": "252-578-3468",
            "fax_number": "252-364-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 BLACK JACK SIMPSON RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588388",
            "telephone_number": "252-578-3468",
            "fax_number": "252-364-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KATRINA",
        "middle_name": "A",
        "credential": "M.ED.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.