Individual provider Active NPI

Tiffany Marie Scott, PNP

  • Pediatric Nurse Practitioner
  • Opelousas, LA
National Provider Identifier
1811778335
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
231553 Issued in LA
Practice address
153 Town Blvd
Opelousas, LA 70570-6971
Phone
(337) 942-4453
NPI assigned
Oct 10, 2023
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 231553 LA Primary

Addresses

Primary practice location

153 Town Blvd
Opelousas, LA 70570-6971

Mailing address

991 Caplis Sligo Rd
Bossier City, LA 71112-9644
Phone (318) 780-3763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20231220000234 LA Practitioner - Nurse Practitioner 4587014386 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
231553LAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lily Pad Pediatrics, LLC CurrentSince Jun 29, 2025 Accepting new patients
David Raines Community Health Center, Inc CurrentSince Dec 1, 2023 Accepting new patients
David Raines Community Health Center, Inc Current Accepting new patients
David Raines Community Health Center, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Ark-la-Tex Childrens Clinic LLC PastSince Oct 1, 2023 Accepting new patients
David Raines Community Health Center, Inc. PastSince Aug 15, 2021 Accepting new patients

Locations

777 Bearkat Dr
Bossier City, LA 71111
Phone (318) 723-7242

12763 Lay St
Gilliam, LA 71029
Phone 31822733503170

1953 Main St
Haynesville, LA 71038
Phone (318) 227-3350

128 Homer Rd
Minden, LA 71055
Phone (318) 377-1545

153 Town Blvd
Opelousas, LA 70570
Phone (337) 942-4453

1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252

1625 David Raines Rd
Unit 2
Shreveport, LA 71107
Phone (318) 425-2252

3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350

351 Hearne Ave
Shreveport, LA 71103
Phone (318) 425-8742

401 W 70th St
Shreveport, LA 71106
Phone (318) 227-3350

4331 Henry St
Shreveport, LA 71109
Phone (318) 364-2300

7340 Wyngate Blvd
Shreveport, LA 71106
Phone (318) 687-4812

7611 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 861-1671

9360 Woolworth Rd
Shreveport, LA 71129
Phone (318) 227-3350

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1811778335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 CAPLIS SLIGO RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711129644",
            "telephone_number": "318-780-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 TOWN BLVD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706971",
            "telephone_number": "337-942-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "231553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.