Active NPI
Timothy Scott
- Speech-Language Pathologist
- Lebanon, OR
National Provider Identifier
1942636642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 015178
- Practice address
- 350 S 8TH St
Lebanon, OR 97355-2242 - Phone
- (541) 259-1221
- NPI assigned
- Sep 25, 2013
- Last updated
- Sep 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 015178 | OR | Primary |
Addresses
Primary practice location
350 S 8TH St
Lebanon, OR 97355-2242
Mailing address
333 Loma Linda LN
Eugene, OR 97405-2711
Phone (425) 260-7484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015178 | Other | OR | CONDITIONAL SPEECH-LANGUAGE PATHOLOGY LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015178 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1942636642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 LOMA LINDA LN",
"city": "EUGENE",
"state": "OR",
"postal_code": "974052711",
"telephone_number": "425-260-7484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S 8TH ST",
"city": "LEBANON",
"state": "OR",
"postal_code": "973552242",
"telephone_number": "541-259-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-25",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "015178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONDITIONAL SPEECH-LANGUAGE PATHOLOGY LICENSE",
"identifier": "015178",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.