Kathrin Scott, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP11709 Issued in AZ

Practice address

3530 S Val Vista Dr Ste 214
Gilbert, AZ 85297-7324

Phone

(480) 718-9960

NPI assigned

Aug 29, 2018

Sex

Female

Sole proprietor

No

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.

• Balance Hormone Center

  • Clinic/Center
  • Gilbert, AZ
  • NPI 1124495403
  NPD (past)
• Balance Hormone Chandler, PLLC

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1669019220
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 14, 2021 through Aug 14, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 29, 2018.

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1992286702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 S SANTA RITA WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852860249",
            "telephone_number": "602-910-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR STE 214",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977324",
            "telephone_number": "480-718-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KATHRIN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott T Peterson
• Allison Scott, PMHNP
• Alyssa Nicole Scott
• Jeffrey Allan Scott, PMHNP
• Jo Ellen Scott
• Kristal J Scott, PT MPT
• Lesi Scott
• Melanie Scott, LMFT
• Michelle E Scott, OTR/L
• Taryne Elyse Scott, DNP, APRN, CPNP-PC

• All providers in Gilbert, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.