Individual provider Active NPI

Scott J Hall, RDN

  • Registered Dietitian
  • Owensboro, KY
National Provider Identifier
1699461723
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
243626 Issued in KY
Practice address
2235 Mayfair Dr
Owensboro, KY 42301-4519
Phone
(270) 688-1500
Fax
(270) 688-1501
NPI assigned
Apr 12, 2023
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 243626 KY Primary

Addresses

Primary practice location

2235 Mayfair Dr
Owensboro, KY 42301-4519

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shall91112@direct.owensborohealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230601000763 KY Practitioner - Registered Dietitian Or Nutrition Professional 7911364237 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
243626KYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince May 1, 2023 Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince May 1, 2023 Accepting new patients
Owensboro Health Medical Group, Inc Past Accepting new patients

Locations

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

2235 Mayfair Dr
Owensboro, KY 42301
Phone (270) 688-1500

Interoperability endpoints

  • Direct secure messaging: shall91112@direct.owensborohealth.org

Organizations & group practices 4

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": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1699461723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 MAYFAIR DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014519",
            "telephone_number": "270-688-1500",
            "fax_number": "270-688-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SCOTT",
        "middle_name": "J",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "243626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shall91112@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "2235 Mayfair Dr",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423014519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.