Individual provider Active NPI

Maddie Scott

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1770980898
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126805 Issued in TX
Practice address
1910 Quaker Ave Ste 101
Lubbock, TX 79407-2433
Phone
(806) 725-4440
Fax
(806) 725-4441
NPI assigned
Dec 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024185416 VA
Family Nurse Practitioner 363LF0000X 350983 NY
Family Nurse Practitioner 363LF0000X AP126805 TX Primary
Family Nurse Practitioner 363LF0000X 26NJ14905900 NJ
Family Nurse Practitioner 363LF0000X 5017263 NC
Family Nurse Practitioner 363LF0000X 283321 AZ
Family Nurse Practitioner 363LF0000X 95023722 CA
Family Nurse Practitioner 363LF0000X 11025 CT
Family Nurse Practitioner 363LF0000X 4704396051 MI
Family Nurse Practitioner 363LF0000X 209026209 IL
Family Nurse Practitioner 363LF0000X 210940 OK
Family Nurse Practitioner 363LF0000X SP027767 PA
Family Nurse Practitioner 363LF0000X TPAN1090 FL
Family Nurse Practitioner 363LF0000X 81615 KS
Family Nurse Practitioner 363LF0000X GAA-NP001169 GA

Addresses

Primary practice location

1910 Quaker Ave Ste 101
Lubbock, TX 79407-2433

Mailing address

2425 Fountain View Dr Ste 160
Houston, TX 77057-4834
Phone (713) 880-4400

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11025CTMDPhysical Therapist
283321AZMDFamily Nurse Practitioner
95023722CAMDFamily Nurse Practitioner
TPAN1090FLMDFamily Nurse Practitioner
GAA-NP001169GAMDFamily Nurse Practitioner
209026209ILMDFamily Nurse Practitioner
81615KSMDFamily Nurse Practitioner
4704396051MIMDFamily Nurse Practitioner
5017263NCMDFamily Nurse Practitioner
26NJ14905900NJMDFamily Nurse Practitioner
350983NYMDFamily Nurse Practitioner
210940OKMDFamily Nurse Practitioner
SP027767PAMDFamily Nurse Practitioner
AP126805TXMDFamily Nurse Practitioner
0024185416VAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: maddie.scott.1@14883.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1770980898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 FOUNTAIN VIEW DR STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574834",
            "telephone_number": "713-880-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 QUAKER AVE STE 101",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072433",
            "telephone_number": "806-725-4440",
            "fax_number": "806-725-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MADDIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185416",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350983",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126805",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14905900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017263",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "283321",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023722",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11025",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704396051",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026209",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "210940",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027767",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "TPAN1090",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "81615",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.