Provider Demographics
NPI:1699704064
Name:SCOTT, (BARBARA) KATE (APN, NP-C)
Entity type:Individual
Prefix:MS
First Name:(BARBARA)
Middle Name:KATE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:APN, NP-C
Other - Prefix:MS
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APN, NP-C
Mailing Address - Street 1:7324 SOUTHWEST FWY 1550
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2053
Mailing Address - Country:US
Mailing Address - Phone:713-779-9800
Mailing Address - Fax:713-779-9862
Practice Address - Street 1:213 FOXFIRE DR
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-8321
Practice Address - Country:US
Practice Address - Phone:847-438-9556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-004861363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q05086Medicare UPIN