DR. SCOTT WAYNE PERRENOD FNP-C NPI 1063523470

NPI Information

  • NPI: 1063523470
  • Provider Name: DR. SCOTT WAYNE PERRENOD, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 152 CATHERINE LN STE F
    GRASS VALLEY, CA
    ZIP 95945
  • Phone: (888) 966-2398

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NPI Details

DR. Scott Wayne Perrenod, FNP-C is a family nurse practitioner in Grass Valley, CA. DR. Scott Wayne Perrenod, FNP-C NPI is 1063523470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

152 CATHERINE LN STE F
GRASS VALLEY, CA
ZIP 95945-756
Phone: (888) 966-2398
Fax: (888) 966-2398

The NPI 1063523470 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0000XPain MedicinePain MedicineNP12667CALIFORNIANo
2363LF0000XNurse PractitionerFamilyNP12667CALIFORNIAYes
3363LX0106XNurse PractitionerOccupational HealthNP12667CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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