Individual provider Active NPI

Kathleen Scott, APRN

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1982193272
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
002926 Issued in NV
Practice address
825 N Gibson Rd Ste 311
Henderson, NV 89011-1708
Phone
(027) 768-3007
Fax
(702) 776-8408
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 002926 NV Primary

Addresses

Primary practice location

825 N Gibson Rd Ste 311
Henderson, NV 89011-1708

Mailing address

6233 Chandon CT
Las Vegas, NV 89130-2103
Phone (702) 321-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20181113002124 NV Practitioner - Nurse Practitioner 6204180144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Diseases of Southern Nevada a Professional LLCGroup PAC ID 7012065576, 13 clinicians

Practice addresses (Care Compare)

825 N Gibson Rd
Suite 311
Henderson, NV 89011-1708
Phone (702) 776-8300

Hospital & facility affiliations

  • Saint Rose Dominican Hospitals - San Martin Campus Hospital, Las Vegas, NV, CCN 290053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
002926NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases of Southern Nevada a Professional LLC CurrentSince Mar 4, 2020 Accepting new patients
Carl N Williams Jr MD CHTD PastSince Apr 9, 2019 Accepting new patients

Locations

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

825 N Gibson Rd
Ste 311
Henderson, NV 89011
Phone (702) 776-8300

3455 Pecos McLeod
Las Vegas, NV 89121
Phone (702) 790-6400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16824/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1982193272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 CHANDON CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302103",
            "telephone_number": "702-321-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N GIBSON RD STE 311",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111708",
            "telephone_number": "027-768-3007",
            "fax_number": "702-776-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KATHLEEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "002926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.