Active NPI
Mary L Scott, ARNP
- Adult Health Nurse Practitioner
- Orange Park, FL
National Provider Identifier
1811106552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP 1328352
- Practice address
- 2140 Kingsley Ave Ste 1
Orange Park, FL 32073-5129 - Phone
- (904) 272-7500
- Fax
- (904) 272-7502
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP 1328352 | FL | Primary |
Addresses
Primary practice location
2140 Kingsley Ave Ste 1
Orange Park, FL 32073-5129
Mailing address
2140 Kingsley Ave Ste 1
Orange Park, FL 32073-5129
Phone (904) 272-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP 1328352 | Other | FL | ARNP LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 1328352 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811106552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 KINGSLEY AVE STE 1",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735129",
"telephone_number": "904-272-7500",
"fax_number": "904-272-7502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 KINGSLEY AVE STE 1",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735129",
"telephone_number": "904-272-7500",
"fax_number": "904-272-7502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MARY",
"middle_name": "L",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP 1328352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP LICENSE",
"identifier": "ARNP 1328352",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.