Individual provider Active NPI

Spencer James Scanlon, NP

  • Gerontology Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1346106127
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11043009 Issued in FL
Practice address
400 SW 1St Ave Apt 1809
Fort Lauderdale, FL 33301-3491
Phone
(203) 218-8232
NPI assigned
Dec 24, 2025
Last updated
Dec 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11043009 FL
Acute Care Nurse Practitioner 363LA2100X APRN11043009 FL
Adult Health Nurse Practitioner 363LA2200X APRN11043009 FL
Gerontology Nurse Practitioner 363LG0600X APRN11043009 FL Primary
Primary Care Nurse Practitioner 363LP2300X APRN11043009 FL

Addresses

Primary practice location

400 SW 1St Ave Apt 1809
Fort Lauderdale, FL 33301-3491

Mailing address

1340 S Hill St Apt 718
Los Angeles, CA 90015-3640

Other practice location 1

1340 S Hill St Apt 718
Los Angeles, CA 90015-3640
Phone (203) 218-8232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11043009FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1346106127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S HILL ST APT 718",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW 1ST AVE APT 1809",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013491",
            "telephone_number": "203-218-8232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 S Hill St Apt 718",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153640",
            "country_code": "US",
            "telephone_number": "203-218-8232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "SPENCER",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-24",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11043009",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11043009",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11043009",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11043009",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11043009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.