=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871164913
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIE SCOTT MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/09/2021
-----------------------------------------------------
Last Update Date | 12/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17240 HEARTBEAT CIR
-----------------------------------------------------
City | COVINGTON
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70435-5757
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 985-898-4001
-----------------------------------------------------
Fax | 985-867-3069
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 669379
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75266-9379
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 985-898-4001
-----------------------------------------------------
Fax | 985-867-3069
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 346842
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------