Individual provider Active NPI

Shelly Renae Scott, LVN

  • Licensed Vocational Nurse
  • Fort Worth, TX
National Provider Identifier
1730663048
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
151473 Issued in TX
Practice address
6115 Camp Bowie Blvd Ste 290
Fort Worth, TX 76116-5500
Phone
(817) 831-1105
NPI assigned
Sep 21, 2018
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 151473 TX Primary

Addresses

Primary practice location

6115 Camp Bowie Blvd Ste 290
Fort Worth, TX 76116-5500

Mailing address

6115 Camp Bowie Blvd Ste 290
Fort Worth, TX 76116-5500
Phone (817) 831-1105

Other practice location 1

7700 Stanley Ct
Joshua, TX 76058-5837
Phone (817) 204-8122

Other identifiers 1

IdentifierTypeStateIssuer
09027117OtherTXTX DL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
151473TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Children's Homecare, LP PastSince Feb 1, 2020 Accepting new patients

Organizations & group practices 1

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": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1730663048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 CAMP BOWIE BLVD STE 290",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165500",
            "telephone_number": "817-831-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 CAMP BOWIE BLVD STE 290",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165500",
            "telephone_number": "817-831-1105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 Stanley Ct",
            "address_purpose": "LOCATION",
            "city": "Joshua",
            "state": "TX",
            "postal_code": "760585837",
            "country_code": "US",
            "telephone_number": "817-204-8122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SHELLY",
        "middle_name": "RENAE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "151473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DL",
            "identifier": "09027117",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.