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KERRY SCRUGGS ANP
NPI 1922080076
Nurse Practitioner in Tyler, TX

Active since November 15, 2005
3310 PATRIOT DR, TYLER, TX 75701(903) 877-7777 Get Directions Write a Review

NPPES record last updated: September 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kerry Scruggs Anp NPPES

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

KERRY SCRUGGS ANP (NPI 1922080076) is an individual nurse practitioner in Tyler, Texas, licensed in Texas (534901) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1922080076
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKERRY SCRUGGSCredential: ANP
Location Address3310 PATRIOT DRTyler, TX 75701-6606
Mailing AddressPo Box 847824Dallas, TX 75284-7824
Phone(903) 877-7777
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateSeptember 3, 2008
✔ NPI 1922080076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 534901
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3310 PATRIOT DR, Tyler, TX 75701
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Other Identifiers 3

Medicaid154069202TX
Medicare PIN8C8985
Medicare UPINP05929

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REBECCA L PEEBLES D.O.
Family Medicine
3310 PATRIOT DR
TYLER, TX 75701
Smith County (903) 877-7200
JENNIFER KAYE FOWLER FNP
Nurse Practitioner (Family)
3310 PATRIOT DR
TYLER, TX 75701
Smith County (903) 877-8925
DUANA J ROBERTS NP
Nurse Practitioner
3310 PATRIOT DR
TYLER, TX 75701
Smith County (903) 939-7870
ROBERT MICHAEL GALBRAITH D.O.
Family Medicine (Sports Medicine)
3310 PATRIOT DR
TYLER, TX 75701
Smith County (039) 877-7200

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 Kerry Scruggs's NPI number?

The NPI number for Kerry Scruggs is 1922080076. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Kerry Scruggs located?

Kerry Scruggs practices at 3310 Patriot Dr, Tyler, TX 75701. The listed phone number is (903) 877-7777.

What is Kerry Scruggs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kerry Scruggs was last updated on September 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.