Individual provider Active NPI

Scott Moulton, F.N.P., R.N., D.C.

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1710040761
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
774434 Issued in TX
Practice address
400 W Arbrook Blvd Ste 120
Arlington, TX 76014-3175
Phone
(817) 522-3672
Fax
(817) 803-4125
NPI assigned
Dec 19, 2006
Last updated
Dec 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 774434 TX Primary
Chiropractor 111N00000X 6383 TX

Addresses

Primary practice location

400 W Arbrook Blvd Ste 120
Arlington, TX 76014-3175

Mailing address

504 N Reo St
Tampa, FL 33609-1013
Phone (813) 549-2134

Other practice location 1

3250 W Pleasant Run Rd
Suite 130
Lancaster, TX 75146-1050
Phone (972) 223-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20141007002635 TX Practitioner - Nurse Practitioner 7214954924 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6383TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pain Relief Group PLLC CurrentSince Dec 6, 2019 Accepting new patients
Pulse Primary Care of Texas PLLC CurrentSince Jun 21, 2025 Accepting new patients
Imed Physician Network, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Texas Pain Relief Group, PLLC CurrentSince Dec 6, 2019 Accepting new patients
Aurora Health Care Chiropractor PastSince Sep 10, 2010 Accepting new patients
Texas Pain Relief Group PLLC Family Past Accepting new patients
Watauga Family Practice PA PastSince Jun 21, 2025 Accepting new patients

Locations

15400 Michigan Ave
Dearborn, MI 48126
Phone (313) 584-3359

400 W Arbrook Blvd
Ste 120
Arlington, TX 76014
Phone (817) 468-8400

5445 Basswood Blvd
Ste 650
Fort Worth, TX 76137
Phone (817) 485-0161

1717 Precinct Line Rd
Ste 200
Hurst, TX 76054
Phone (817) 369-3990

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

Interoperability endpoints

  • Direct secure messaging: scott.moulton@ppoa.directbygreenway.com

Organizations & group practices 7

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1710040761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N REO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091013",
            "telephone_number": "813-549-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143175",
            "telephone_number": "817-522-3672",
            "fax_number": "817-803-4125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 W Pleasant Run Rd",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "TX",
            "postal_code": "751461050",
            "country_code": "US",
            "telephone_number": "972-223-2233",
            "fax_number": "972-223-2290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "SCOTT",
        "credential": "F.N.P., R.N., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "774434",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.