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NPI Code Detail

MEDICARE: MISHA RAYNE SCOTT

MEDICARE: MISHA RAYNE SCOTT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner
2390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437647120
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISHA RAYNE SCOTT
Provider Business Mailing Address
First Line : 6060 SUNRISE VISTA DR STE 2100
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-7068
Country : US
Telephone Number : 916-967-6253
Fax Number :
Provider Business Practice Location Address
First Line : 6060 SUNRISE VISTA DR STE 2100
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-7068
Country : US
Telephone Number : 916-967-6253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2018
Last Update Date : 08/21/2025

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Directions to “ MISHA RAYNE SCOTT ” Practice Location

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