Susan Scarselletta

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

1372881 Issued in NY

Practice address

10 Fourth Ave
Auburn, NY 13021-5106

Phone

(315) 253-7629

NPI assigned

Apr 24, 2008

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New York Medicaid

  • Nursing Care Agency
  • Auburn, NY
  • NPI 1972786309
  NPD (past) Authorized official

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1487829164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOURTH AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130215106",
            "telephone_number": "315-253-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOURTH AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130215106",
            "telephone_number": "315-253-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARSELLETTA",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "1372881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Irene Sawaryn, LCSW-R
• Benjamin Saya, DPT
• Lauren Ashley Scala, MSN, FNP
• Kieran Scanlan
• Stephanie Scanlon
• Patricia Schappert, PTA
• Deborah J Schlegel, L.P.N
• David Scott Schnapp, MD
• Dina Schnellinger, PA, PT
• Alexa Schooley, PHARM D

• Licensed Practical Nurse in Auburn, NY
• Providers in Auburn, 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 Apr 24, 2008; 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.