Individual provider Active NPI

Scott Ryan Netherton, MSN, RN, CNOR, NE-BC

  • Registered Nurse
  • Indianapolis, IN
National Provider Identifier
1851105530
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28179182A Issued in IN
Practice address
5255 E Stop 11 Rd Ste 100
Indianapolis, IN 46237-6341
Phone
(317) 528-5900
Fax
(317) 528-5939
NPI assigned
Feb 4, 2025
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28179182A IN Primary

Addresses

Primary practice location

5255 E Stop 11 Rd Ste 100
Indianapolis, IN 46237-6341

Mailing address

5951 Provincetown Cir
Indianapolis, IN 46250-2756
Phone (317) 258-9159

Other practice location 1

8530 Township Line Rd
Indianapolis, IN 46260-1927
Phone (463) 999-9045

Other practice location 2

6201 La Pas Trl Ste 120
Indianapolis, IN 46268-2513
Phone (317) 214-8128

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)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
28179182AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
A Home Care Near You PastSince Nov 12, 2023 Accepting new patients

Organizations & group practices 1

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": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1851105530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5951 PROVINCETOWN CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502756",
            "telephone_number": "317-258-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 E STOP 11 RD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462376341",
            "telephone_number": "317-528-5900",
            "fax_number": "317-528-5939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8530 Township Line Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601927",
            "country_code": "US",
            "telephone_number": "463-999-9045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 La Pas Trl Ste 120",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462682513",
            "country_code": "US",
            "telephone_number": "317-214-8128",
            "fax_number": "317-680-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NETHERTON",
        "first_name": "SCOTT",
        "middle_name": "RYAN",
        "credential": "MSN, RN, CNOR, NE-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28179182A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.