Individual provider Active NPI

Kathleen Diane Scott, MSN

  • Specialist
  • E Cleveland, OH
National Provider Identifier
1720046691
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OH RN 288359 Issued in OH
Practice address
13930 Euclid Ave
E Cleveland, OH 44112-3804
Phone
(216) 761-6111
Fax
(216) 761-0140
NPI assigned
May 2, 2006
Last updated
Sep 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OH RN 288359 OH Primary

Addresses

Primary practice location

13930 Euclid Ave
E Cleveland, OH 44112-3804

Mailing address

275 Springside Dr Ste 100
Akron, OH 44333-4549

Other identifiers 1

IdentifierTypeStateIssuer
2287538MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050630000689 OH Practitioner - Nurse Practitioner 3971549874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians

Practice addresses (Care Compare)

1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-1967

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Arts, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
OH RN 288359OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Psychological & Counseling Services of Northeast Ohio CurrentSince Sep 1, 2019 Accepting new patients
Partners Physician Group CurrentSince Oct 14, 2019 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Partners Physician Group Current Accepting new patients
Clinic Regional Physicians LLC Past Accepting new patients
Heartcare, Inc. Past Accepting new patients
Partners Physician Group Past Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

4018 Medina Rd
Ste D
Medina, OH 44256
Phone (330) 506-1408

195 Wadsworth Rd
Ste 201B
Wadsworth, OH 44281
Phone (330) 336-2000

Interoperability endpoints

  • Direct secure messaging: kscott1377844@direct.ccf.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1720046691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SPRINGSIDE DR STE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443334549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13930 EUCLID AVE",
            "city": "E CLEVELAND",
            "state": "OH",
            "postal_code": "441123804",
            "telephone_number": "216-761-6111",
            "fax_number": "216-761-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KATHLEEN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "OH RN 288359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2287538",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in E Cleveland, OH

Sources for this page

Verify at the official NPI Registry.