Individual provider Active NPI

Dawn Lillian Scott, ANP-BC

  • Adult Health Nurse Practitioner
  • Watertown, NY
National Provider Identifier
1699759100
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F302341 Issued in NY
Practice address
1511 Washington St
Suite 7
Watertown, NY 13601-9314
Phone
(315) 681-4367
Fax
(315) 405-4585
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F302341 NY Primary
Pediatric Nurse Practitioner 363LP0200X F381241 NY

Addresses

Primary practice location

1511 Washington St
Suite 7
Watertown, NY 13601-9314

Mailing address

1511 Washington St
Suite 7
Watertown, NY 13601-9314
Phone (315) 681-4367

Other identifiers 1

IdentifierTypeStateIssuer
01865883MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140630001401 NY Practitioner - Nurse Practitioner 0749404002 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
302341NYMDLicensed Practical Nurse
F302341NYMDAdult Health Nurse Practitioner
F381241NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital Inc. CurrentSince Jun 27, 2018 Accepting new patients
Carthage Area Hospital Inc CurrentSince Jun 27, 2018 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Mirza M Ashraf, M.D., P.C. CurrentSince Jul 1, 2017 Accepting new patients

Locations

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

117 N Mechanic St
Carthage, NY 13619
Phone (315) 493-3100

26060 Nys Route 3
Watertown, NY 13601
Phone (315) 782-2211

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1699759100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 WASHINGTON ST",
            "address_2": "SUITE 7",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019314",
            "telephone_number": "315-681-4367",
            "fax_number": "315-405-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 WASHINGTON ST",
            "address_2": "SUITE 7",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019314",
            "telephone_number": "315-681-4367",
            "fax_number": "315-405-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DAWN",
        "middle_name": "LILLIAN",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302341",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01865883",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.