Mabell Omoye Scott, LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

4703110100 Issued in MI

Practice address

724 Owl Court
Wolverine Lake, MI 48390

Phone

(313) 675-5341

NPI assigned

Jan 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mabell Omoye Scott Professional name

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1689095093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 OWL CT",
            "city": "WOLVERINE LAKE",
            "state": "MI",
            "postal_code": "483903066",
            "telephone_number": "313-675-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 OWL COURT",
            "city": "WOLVERINE LAKE",
            "state": "MI",
            "postal_code": "48390",
            "telephone_number": "313-675-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MABELL",
        "middle_name": "OMOYE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "MI",
            "license": "4703110100",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MABELL",
            "last_name": "SCOTT",
            "middle_name": "OMOYE",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Licensed Vocational Nurse in Wolverine Lake, MI
• Providers in Wolverine Lake, MI by specialty
• Licensed Vocational Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.