NPI Code Details Logo

NPI 1174113112

NPI 1174113112 : LYNETTE SCOTT AGPCNP-C : KATY, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1174113112
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LYNETTE SCOTT AGPCNP-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/23/2021
-----------------------------------------------------
    Last Update Date     |    02/03/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    24285 KATY FWY 
-----------------------------------------------------
    City                 |    KATY
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77494-1165
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    346-387-7171
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    24200 SOUTHWEST FWY STE 402-107 
-----------------------------------------------------
    City                 |    ROSENBERG
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77471-5984
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    832-582-0298
-----------------------------------------------------
    Fax                  |    346-857-0298
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LG0600X
-----------------------------------------------------
    Taxonomy Name        |    Gerontology Nurse Practitioner
-----------------------------------------------------
    License Number       |    AG11200097
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207QG0300X
-----------------------------------------------------
    Taxonomy Name        |    Geriatric Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    AG11200097
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.