Eleesa Scroggins, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

00103196 Issued in WA

Practice address

1317 W Lakeside Dr
Moses Lake, WA 98837-2067

Phone

(509) 765-4617

NPI assigned

Dec 17, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1861152837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 W LAKESIDE DR",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372067",
            "telephone_number": "509-765-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W LAKESIDE DR",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372067",
            "telephone_number": "509-765-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCROGGINS",
        "first_name": "ELEESA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "00103196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eleesa_scroggins@choosebroadspire.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1317 W Lakeside Dr",
            "city": "Moses Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988372067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher Thomas Schotzko, BCBA
• Amanda Schuh, LMT
• Brittany Ann Schwab, MT
• Julia Sciuchetti, DDS
• Miranda Scott
• Thomas J Seiler
• Alejandra Serrano Castrellon
• Jannette Serrano-Vasquez, MS
• Angelino Serrano, BA
• Alyssa Jasmine Serrato, MASS.MA.70132483

• Case Management Registered Nurse in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Case Management Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.