Jennifer Marie Scanlon

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

315519-1 Issued in NY

Practice address

239 Kerry St
Holbrook, NY 11741-3817

Phone

(631) 335-4213

NPI assigned

Oct 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1104253335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WOODS LN",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202517",
            "telephone_number": "631-335-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 KERRY ST",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117413817",
            "telephone_number": "631-335-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "315519-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caren Debra Sande, MS CCC/LSP
• Danny E Sandoval, LMT
• Matthew Santorufo
• SC Family Health NP PLLC
• Christina Marie Scanlan
• Jeanne Marie Schaefer, RPAC
• Jessica Ann Schreck, R.D.
• Holly Schroder, LCSW
• Jennifer Lynn Sciammarella, RN
• Charles Sciangula, DPT

• Licensed Practical Nurse in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.