Individual provider Active NPI

Kaytie Phyllis Scott, PA-S

  • Physician Assistant
  • North Ogden, UT
National Provider Identifier
1730654534
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6645931-1206 Issued in UT
Practice address
1269 E 3075 N
North Ogden, UT 84414-1887
Phone
(801) 710-3313
NPI assigned
Oct 8, 2018
Last updated
Nov 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6645931-1206 UT Primary

Addresses

Primary practice location

1269 E 3075 N
North Ogden, UT 84414-1887

Mailing address

1269 E 3075 N
North Ogden, UT 84414-1887
Phone (801) 710-3313

Other names 1

  • Kaytie Phyllis Thorpe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20200227001107 UT Practitioner - Physician Assistant 0244667483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1915 W 5950
Roy, UT 84067-1454
Phone (801) 387-8100

201 W Layton Pkwy
Layton, UT 84041-3692

2400 N Washington Blvd
North Ogden, UT 84414-7233
Phone (435) 792-1770

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jan 12, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Jan 12, 2020 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Ste 1A
Layton, UT 84041
Phone (801) 543-6775

8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1730654534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 E 3075 N",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844141887",
            "telephone_number": "801-710-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 E 3075 N",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844141887",
            "telephone_number": "801-710-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KAYTIE",
        "middle_name": "PHYLLIS",
        "name_prefix": "Mrs.",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "6645931-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYTIE",
            "last_name": "THORPE",
            "middle_name": "PHYLLIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Ogden, UT

Sources for this page

Verify at the official NPI Registry.