Individual provider Active NPI

Clare Leota Scott, DNP, APRN-C, CSW

  • Adult Health Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1710162995
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11019739 Issued in FL
Practice address
2400 Maitland Center Parkway
Suite 310
Maitland, FL 32751-7442
Phone
(352) 329-1800
Fax
(352) 329-1810
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X APRN11019739 FL
Nurse Practitioner 363L00000X 26NO10496100 NJ
Adult Health Nurse Practitioner 363LA2200X APRN11019739 FL Primary

Addresses

Primary practice location

2400 Maitland Center Parkway
Suite 310
Maitland, FL 32751-7442

Mailing address

2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442
Phone (352) 632-9018

Other practice location 1

4501 Route 42
Suite 5
Turnersville, NJ 08012-1776
Phone (856) 740-9777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20080211000375 NJ Practitioner - Nurse Practitioner 1557444890 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NO10496100NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restore First Health NJ LLC CurrentSince Jan 27, 2025 Accepting new patients
Harkaway LLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

2650 Route 130
Ste L
Cranbury, NJ 08512
Phone (862) 314-7030

300B Princeton Hightstown Rd
Ste 202
East Windsor, NJ 08520
Phone (702) 303-4220

408 Chris Gaupp Dr
Ste 100
Galloway, NJ 08205
Phone (609) 748-5015

Organizations & group practices 2

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1710162995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MAITLAND CENTER PKWY STE 310",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517442",
            "telephone_number": "352-632-9018",
            "fax_number": "352-329-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MAITLAND CENTER PARKWAY",
            "address_2": "SUITE 310",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517442",
            "telephone_number": "352-329-1800",
            "fax_number": "352-329-1810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Route 42",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Turnersville",
            "state": "NJ",
            "postal_code": "080121776",
            "country_code": "US",
            "telephone_number": "856-740-9777",
            "fax_number": "856-740-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CLARE",
        "middle_name": "LEOTA",
        "credential": "DNP, APRN-C, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "FL",
            "license": "APRN11019739",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NO10496100",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11019739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.