Individual provider Active NPI

Nicole Limmina Scott, N.P.-C.

  • Adult Health Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1780704460
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
LB-0000198 Issued in DE
Practice address
410 Foulk Rd Ste 200B
Wilmington, DE 19803-3802
Phone
(302) 762-6692
NPI assigned
Mar 29, 2007
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X LB-0000198 DE Primary
Registered Nurse 163W00000X L1-0028541 DE

Addresses

Primary practice location

410 Foulk Rd Ste 200B
Wilmington, DE 19803-3802

Mailing address

410 Foulk Rd Ste 200B
Wilmington, DE 19803-3802
Phone (302) 762-6692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20070601000319 DE Practitioner - Nurse Practitioner 3476651290 Reassigns benefits to 4 organizations
Practice locations: Wilmington, DE

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

501 W 14TH St
1E40 Cchi Project Recovery
Wilmington, DE 19801-1013
Phone (302) 320-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L1-0028541DEMDRegistered Nurse
LB-0000198DEMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Initiatives Adult Health CurrentSince Sep 8, 2019 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 23, 2018 Accepting new patients
Trinity Medical Associates PA CurrentSince Feb 1, 2013 Accepting new patients
Christiana Care Health Initiatives CurrentSince Sep 8, 2019 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Sep 8, 2019 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 23, 2018 Accepting new patients
Nicole L Scott NP C Adult Primary Care LLC Adult Health PastSince May 1, 2018 Accepting new patients
Complete Sleep Lab Inc PastSince Aug 20, 2018 Accepting new patients
Premiere Physicians P.a. PastSince Jan 1, 2004 Accepting new patients
David J Maleh, MD, PA PastSince Jan 1, 2015 Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

1400 N Washington St
#300
Wilmington, DE 19801

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

410 Foulk Rd
Ste 200B
Wilmington, DE 19803
Phone (302) 561-4202

501 W 14th St
Ste 1E40
Wilmington, DE 19801
Phone (302) 320-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17876/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1780704460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 FOULK RD STE 200B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033802",
            "telephone_number": "302-762-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 FOULK RD STE 200B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033802",
            "telephone_number": "302-762-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "NICOLE",
        "middle_name": "LIMMINA",
        "name_prefix": "Mrs.",
        "credential": "N.P.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LB-0000198",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0028541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.