Individual provider Active NPI

Diana Lynn Scanlan, ANP

  • Adult Health Nurse Practitioner
  • Clinton, NJ
National Provider Identifier
1437395209
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00168200 Issued in NJ
Practice address
1738 Route 31 Suite 108
Clinton, NJ 08807
Phone
(908) 735-3980
Fax
(908) 735-3981
NPI assigned
Dec 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00168200 NJ Primary

Addresses

Primary practice location

1738 Route 31 Suite 108
Clinton, NJ 08807

Mailing address

1738 Route 31 Suite 108
Clinton, NJ 08809-3158
Phone (908) 735-3980

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address diana.scanlan.p61@direct.hunterdon.nextgenshare.com Direct

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1437395209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 ROUTE 31 SUITE 108",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088093158",
            "telephone_number": "908-735-3980",
            "fax_number": "908-735-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 ROUTE 31 SUITE 108",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "08807",
            "telephone_number": "908-735-3980",
            "fax_number": "908-735-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLAN",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00168200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diana.scanlan.p61@direct.hunterdon.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen EMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1738 Route 31 Suite 108",
            "city": "Clinton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.