Mary Scannelli

Primary specialty

HomemakerTaxonomy code 376J00000X

License

233695 Issued in FL

Practice address

322 4TH St NW
Winter Haven, FL 33881-4671

Phone

(863) 875-7959

Fax

(863) 875-7960

NPI assigned

Sep 19, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1093117103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 4TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814671",
            "telephone_number": "863-875-7959",
            "fax_number": "863-875-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 4TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814671",
            "telephone_number": "863-875-7959",
            "fax_number": "863-875-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANNELLI",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "233695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khemwatie Saywack
• SBC Health Inc
• SC Messam Inc.
• Lynne N Scalf
• James Patrick Scanlan, PT
• Morgan Schaeffer, PHARMD
• Devon Schaub, OT
• Gary B Schemmer, M.D.
• Anna Kathleen Schirripa
• Christopher Cannon Scholten, D.O.

• Homemaker in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.