Individual provider Active NPI

Octavia Stribling Scott, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Warrior, AL
National Provider Identifier
1689370694
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-144137 Issued in AL
Practice address
1189 Allbritton Rd
Warrior, AL 35180-2663
Phone
(205) 946-4580
NPI assigned
Feb 1, 2023
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-144137 AL
Family Nurse Practitioner 363LF0000X 1-144137 AL Primary

Addresses

Primary practice location

1189 Allbritton Rd
Warrior, AL 35180-2663

Mailing address

5496 Wisteria Trce
Trussville, AL 35173-6316
Phone (205) 490-5228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20230503003627 AL Practitioner - Nurse Practitioner 2163887738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remedy Behavioral Health LLCGroup PAC ID 3375958853, 46 clinicians

Practice addresses (Care Compare)

1609 Mockingbird CT
Suite B
Florence, AL 35630-7511
Phone (256) 320-7778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Behavioral Health, LLC Family CurrentSince Jul 17, 2023 Accepting new patients
Shoals NP Homecare, LLC Current Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Apr 18, 2023 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 314-5700

1609 Mockingbird Ct
Ste B
Florence, AL 35630
Phone (256) 320-7778

1001 S Jackson Hwy
Sheffield, AL 35660
Phone (256) 320-7778

575 Southland Dr
Vestavia, AL 35226
Phone (205) 721-6200

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1689370694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5496 WISTERIA TRCE",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351736316",
            "telephone_number": "205-490-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 ALLBRITTON RD",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "351802663",
            "telephone_number": "205-946-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "OCTAVIA",
        "middle_name": "STRIBLING",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-144137",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-144137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrior, AL

Sources for this page

Verify at the official NPI Registry.