Provider Demographics
NPI:1912703935
Name:BECKER, SCOTT ANTHONY
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:ANTHONY
Last Name:BECKER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11662 BURT ST APT L15
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-1530
Mailing Address - Country:US
Mailing Address - Phone:402-910-5926
Mailing Address - Fax:
Practice Address - Street 1:11662 BURT ST APT L15
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-1530
Practice Address - Country:US
Practice Address - Phone:402-910-5926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide