Kieran Scanlan

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

004909-01 Issued in NY

Practice address

6450 Victory Dr
Auburn, NY 13021-9008

Phone

(315) 283-8562

NPI assigned

Jun 28, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1316624711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 VICTORY DR",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130219008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 VICTORY DR",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130219008",
            "telephone_number": "315-283-8562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Eaton St",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NY",
            "postal_code": "134087705",
            "country_code": "US",
            "telephone_number": "315-283-8562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCANLAN",
        "first_name": "KIERAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-28",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "004909-01",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT008613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Saurini, LPN
• Hope Ann Saville, LPN
• Heather Irene Sawaryn, LCSW-R
• Benjamin Saya, DPT
• Lauren Ashley Scala, MSN, FNP
• Stephanie Scanlon
• Susan Scarselletta
• Patricia Schappert, PTA
• Deborah J Schlegel, L.P.N
• David Scott Schnapp, MD

• Athletic Trainer in Auburn, NY
• Providers in Auburn, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.