Monica Faye Scruggs, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP60462749 Issued in WA

Practice address

1633 Westlake Ave N
Suite 105
Seattle, WA 98109-6227

Phone

(509) 688-5490

Fax

(877) 490-8630

NPI assigned

Nov 11, 2008

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

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1962656462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 WESTLAKE AVE N",
            "address_2": "SUITE 105",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981096227",
            "telephone_number": "509-688-5490",
            "fax_number": "877-490-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 WESTLAKE AVE N",
            "address_2": "SUITE 105",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981096227",
            "telephone_number": "509-688-5490",
            "fax_number": "877-490-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "MONICA",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60462749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Gabrielle Scovel, MD
• Judson Lawrence Scovill, LICSW, CDP, CCDC-I,
• Diane M Scoville, PHD, LICSW
• SCR PS
• Scrips Incorporated
• Shannon Marie Scruggs
• SCS of Seattle, a Professional Corporation
• Grant Scull, MD
• Cynthia Ann Sculley, MSW
• Laurie Geoge Scullin, MS ED LMHC

• Adult Health Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.