Scot Bacon Athair, LPM

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00004385 Issued in WA

Practice address

1111 E Front St
Port Angeles, WA 98362-4307

Phone

(360) 452-3017

NPI assigned

Dec 15, 2007

Last updated

Dec 15, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197676800000",
    "number": "1710160544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624307",
            "telephone_number": "360-452-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624307",
            "telephone_number": "360-452-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHAIR",
        "first_name": "SCOT",
        "middle_name": "BACON",
        "credential": "LPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-15",
        "last_updated": "2007-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00004385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Apodaca
• Christy Armstrong
• Pamela L Arnott, RN
• Assisted Living Concepts Inc (Laurel Park Assisted Living)
• Elizabeth Athair, LMMP
• Timothy James Atkisson
• Nicole Aughe, MA
• Alan Richard Austin
• Jeanneine Elizabeth Austin, MA, NCC, AAC, DCR
• Rex Thomas Averill, MD

• Specialist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2007; 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.