Charlene Scott

Physician • Newberry, FL

Deactivated NPI 1891412474 Deactivated in NPPES Female Practitioner

Practice location in NPPES

25035 Nw 6th Ave
Newberry, FL 326696122

Phone: 3524721902

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of January 17, 2024; the reason is not published. The records below are historical. They do not show whether Charlene Scott currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date October 24, 2022

NPI Deactivation Date January 17, 2024

NPI Active Period 2022 – 2024

Practice Location & Contact Primary Location

Practice Address

25035 Nw 6th Ave

Newberry, FL 326696122

Telephone 3524721902

Fax 3524721902

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What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Newberry and Florida

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 320900000X

License # reported to NPPES FL 010374500

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated January 17, 2024

NPPES lists this NPI as deactivated as of January 17, 2024; the reason is not published.

✅

NPI Profile Active October 24, 2022

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) October 24, 2022

Registered at 25035 NW 6TH AVE, NEWBERRY, FL 326696122 (Tel: 3524721902)

📍

Business Mailing Address (Initial Record) October 24, 2022

Registered at PO BOX 142, NEWBERRY, FL 326690142 (Tel: 3524721902)

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Provider Name / Credentials (Initial Record) October 24, 2022

Recorded as CHARLENE SCOTT

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2022

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (license number reported to NPPES: FL 010374500)

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Initial NPI Registration & Enumeration October 24, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891412474

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 24, 2022

Last Update: October 24, 2022

Deactivation Date: January 17, 2024

Update or Correct Profile

Mailing Address

Po Box 142

Newberry, FL 326690142

Phone: 3524721902

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.