Amie Nicole Scroggins

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR2056 Issued in AR

Practice address

905 N Redmond Rd
Jacksonville, AR 72076-3622

Phone

(501) 982-0528

Fax

(501) 533-6380

NPI assigned

Dec 22, 2006

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathfinder, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, AR
  • NPI 1629035043
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1780749499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 ONEIDA ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N REDMOND RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763622",
            "telephone_number": "501-982-0528",
            "fax_number": "501-533-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCROGGINS",
        "first_name": "AMIE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franchesca Schandevel, M.D.
• Colleen Diane Schwesinger, LMHC, MA, PC, CGS
• William Preston Scoggins-Martz, LPC
• Tina Scott-Jackson
• Mattie Scott
• Bathsheba Seats
• Hira Ejaz Shah, M D
• Muhammad Younus Shajaat, MD
• Marcia Jane Shepherd, M.S.P.T.
• J. Elaine Sherrill, APRN

• Occupational Therapist in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.