Stephen Lamarr Scoville, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7427208-4405 Issued in UT

Practice address

5788 S Waterbury Way
Unit B
Salt Lake City, UT 84121-1141

Phone

(801) 662-9098

NPI assigned

Sep 30, 2013

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• C and B Family Practice LLC

  • Nurse Practitioner
  • Altonah, UT
  • NPI 1841825213
  NPD (past)

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1730516220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051323",
            "telephone_number": "801-662-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5788 S WATERBURY WAY",
            "address_2": "UNIT B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211141",
            "telephone_number": "801-662-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVILLE",
        "first_name": "STEPHEN",
        "middle_name": "LAMARR",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-30",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7427208-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Rai Scovill
• Zakary Alan Scovill
• Barbara Ann Scoville, LCSW
• Marcia A. Scoville, C.N.M.
• Sarah Scoville, PA-C
• Scptr Wellness L.L.C.
• Kyle James Scranton
• Elise Scribner
• SD Sunnyside LLC
• Mallory R Sdano, MS, LCGC

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.