Active NPI
Tiffani Lyn Scott, RN, MSN, CPNP
- Pediatric Nurse Practitioner
- Cedar Park, TX
National Provider Identifier
1902090798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 710481
- Practice address
- 1464 E Whitestone Blvd
201
Cedar Park, TX 78613-9058 - Phone
- (512) 260-8100
- Fax
- (512) 260-8103
- NPI assigned
- Sep 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 710481 | TX | Primary |
| Nurse Practitioner | 363L00000X | 710481 | TX |
Addresses
Primary practice location
1464 E Whitestone Blvd
201
Cedar Park, TX 78613-9058
Mailing address
1464 E Whitestone Blvd
201
Cedar Park, TX 78613-9058
Phone (512) 260-8100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218614004 | Medicaid | TX | |
| 218614003 | Medicaid | TX | |
| 21861403 | Medicaid | TX | |
| 218614002 | Medicaid | TX |
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
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 710481 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitestone Pediatrics Incorporated | Past | Accepting new patients | |
| Michael C. Holmes, MD, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Cedar Park, TX
- NPI 1700170313
-
- Pediatrics Physician
- Cedar Park, TX
- NPI 1689132540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1902090798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1464 E WHITESTONE BLVD",
"address_2": "201",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786139058",
"telephone_number": "512-260-8100",
"fax_number": "512-260-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1464 E WHITESTONE BLVD",
"address_2": "201",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786139058",
"telephone_number": "512-260-8100",
"fax_number": "512-260-8103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "TIFFANI",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "RN, MSN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "710481",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "710481",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218614004",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218614003",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21861403",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218614002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.