Alexa Scully, MS, RDN, CSSD is a
Dietitian, Registered based in Hurlburt, Florida. Alexa Scully is licensed to practice in Tennessee (license number LDN0000003063) and her current practice location is
1st Special Operations Medical Group, Hurlburt, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 641-2337.
NPI number for Alexa Scully is 1427779032 and her current mailing address is 1st Special Operations Medical Group, Hurlburt, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427779032.
Healthcare Provider's Profile
Full Name | Alexa Scully |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1st Special Operations Medical Group, Hurlburt, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427779032
- Provider Enumeration Date: 09/12/2022
- Last Update Date: 09/12/2022
Medical Identifiers
Medical identifiers for Alexa Scully such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427779032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LDN0000003063 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexa Scully is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alexa Scully, MS, RDN, CSSD 1st Special Operations Medical Group, Hurlburt, FL 32544 Ph: (850) 641-2337 | Alexa Scully, MS, RDN, CSSD 1st Special Operations Medical Group, Hurlburt, FL 32544 Ph: (850) 641-2337 |
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