Individual provider Active NPI

Hannah Scoccolo

  • Rehabilitation Practitioner
  • Henderson, NV
National Provider Identifier
1689505653
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
98 E Lake Mead Pkwy Ste 105
Henderson, NV 89015-6443
Phone
(702) 823-4300
Fax
(702) 906-1844
NPI assigned
May 27, 2026
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

98 E Lake Mead Pkwy Ste 105
Henderson, NV 89015-6443

Mailing address

98 E Lake Mead Pkwy Ste 105
Henderson, NV 89015-6443
Phone (702) 823-4300

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scoccolo Family Medicine PLLC Multi-Specialty Current Accepting new patients

Locations

98 E Lake Mead Pkwy
Ste 105
Henderson, NV 89015
Phone (253) 376-4234

Organizations & group practices 2

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": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1689505653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 E LAKE MEAD PKWY STE 105",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156443",
            "telephone_number": "702-823-4300",
            "fax_number": "702-906-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 E LAKE MEAD PKWY STE 105",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156443",
            "telephone_number": "702-823-4300",
            "fax_number": "702-906-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOCCOLO",
        "first_name": "HANNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.