KELSEY SCATTERGOOD
NPI 1861944829
Nurse Practitioner - Pediatrics in Hermosa Beach, CA

Active since October 25, 2016
703 PIER AVE STE B, #125, HERMOSA BEACH, CA 90254(609) 238-4178 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelsey Scattergood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY SCATTERGOOD (NPI 1861944829) is an individual pediatrics provider in Hermosa Beach, California, licensed in California (95004400) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1861944829
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELSEY SCATTERGOOD
Location Address703 PIER AVE STE B, #125Hermosa Beach, CA 90254-3943
Mailing Address703 Pier Ave Ste B, #125Hermosa Beach, CA 90254-3943 · (609) 238-4178
Sole ProprietorNo
Enumeration DateOctober 25, 2016
NPI 1861944829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · 95004400
703 PIER AVE STE B, Hermosa Beach, CA 90254

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Scattergood's NPI number?

The NPI number for Kelsey Scattergood is 1861944829. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Where is Kelsey Scattergood located?

Kelsey Scattergood practices at 703 Pier Ave Ste B #125, Hermosa Beach, CA 90254. The listed phone number is (609) 238-4178.

What is Kelsey Scattergood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kelsey Scattergood was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.