Andrea J Scott

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP047340 Issued in AZ

Practice address

4701 W Grovers Ave
Glendale, AZ 85308-3460

Phone

(602) 467-5711

Fax

(602) 467-5780

NPI assigned

Aug 26, 2013

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1740614882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20402 N 15TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273636",
            "telephone_number": "623-445-4952",
            "fax_number": "623-445-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W GROVERS AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083460",
            "telephone_number": "602-467-5711",
            "fax_number": "602-467-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ANDREA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP047340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly L Scoggins, FNP
• Paula Kay Scoggins, FNP-C, MSN
• Samantha Anne Score, D.O.
• Scott Group 010 LLC
• Scott M Gulinson MD PC
• Jessica Lynn Scott
• Kelly Leigh Scott, M.D., M.P.H
• Kendra Jean Scott, PA-C
• Kindra Leigh Scott
• Kristina Scott

• Licensed Practical Nurse in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.