Healthcare Provider Details

I. General information

NPI: 1275820011
Provider Name (Legal Business Name): ALESHA NICOLE SCOTT D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2011
Last Update Date: 05/27/2020
Certification Date: 05/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 S 16TH ST
LINCOLN NE
68502-3704
US

IV. Provider business mailing address

740 S LIMESTONE K401 UK DEPARTMENT OF ORTHOPAEDIC SURGERY
LEXINGTON KY
40536-0284
US

V. Phone/Fax

Practice location:
  • Phone: 402-481-4167
  • Fax: 402-481-5100
Mailing address:
  • Phone: 859-323-5533
  • Fax: 859-323-2412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number5101019201
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number03989
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number1690
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: