Active NPI
Spencer James Scanlon, NP
- Gerontology Nurse Practitioner
- Fort Lauderdale, FL
National Provider Identifier
1346106127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11043009
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11043009 | FL | MD | Nurse 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.