Katherine Grey Scott, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95275362 Issued in CA

Practice address

10211 Keppler Dr
San Diego, CA 92124-2505

Phone

(865) 414-5704

NPI assigned

Aug 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Katherine Grey Jackson Former name

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": "1723248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1871324970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 KEPPLER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242505",
            "telephone_number": "865-414-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 KEPPLER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242505",
            "telephone_number": "865-414-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KATHERINE",
        "middle_name": "GREY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-10",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "245559",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95275362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "JACKSON",
            "middle_name": "GREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Scott, PA
• Jessica Jo Scott, CPSS
• Jordan Scott, ND
• Julia Scott
• Karlee Rachelle Scott, DPT
• Katie Lynn Scott, PA-C
• Kellie Scott, MSW
• Kelly Marie Scott, PMHNP
• Kiara Scott
• Kimber C. Scott, MPT

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.