Active NPI
Scott Moulton, F.N.P., R.N., D.C.
- Family Nurse Practitioner
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 774434
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6383 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Pain Relief Group PLLC | Current | Accepting new patients | |
| Pulse Primary Care of Texas PLLC | Current | Accepting new patients | |
| Imed Physician Network, Inc. | Current | Accepting new patients | |
| Texas Pain Relief Group, PLLC | Current | Accepting new patients | |
| Aurora Health Care | Chiropractor | Past | Accepting new patients |
| Texas Pain Relief Group PLLC | Family | Past | Accepting new patients |
| Watauga Family Practice PA | Past | 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
- 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.
-
- Interventional Pain Medicine Physician
- Lancaster, TX
- NPI 1063809465
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1033006986
-
- Interventional Pain Medicine Physician
- Hurst, TX
- NPI 1003246299
-
dba Florida Pain Relief Group
- Interventional Pain Medicine Physician
- Tampa, FL
- NPI 1487028387
-
- Chiropractor
- Lancaster, TX
- NPI 1083872147
-
dba Texas Primary Care Group
- Family Nurse Practitioner
- Hurst, TX
- NPI 1396128328
-
dba North Tarrant Family Practice
- Family Medicine Physician
- Fort Worth, TX
- NPI 1740369073
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.