Casandra Anne Scully, FNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

SP013497 Issued in PA

Practice address

29 N 9TH St
Allentown, PA 18101-1102

Phone

(610) 481-0481

Fax

(610) 481-0486

NPI assigned

Feb 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: casandra.scully.p6@direct.usppny.nextgenshare.com

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.

• Planned Parenthood Keystone

  • Clinic/Center
  • Harrisburg, PA
  • NPI 1487655981
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1669711008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1068",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205068",
            "telephone_number": "610-481-0481",
            "fax_number": "610-871-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N 9TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181011102",
            "telephone_number": "610-481-0481",
            "fax_number": "610-481-0486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187012002",
            "country_code": "US",
            "telephone_number": "610-871-7200",
            "fax_number": "610-871-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171022505",
            "country_code": "US",
            "telephone_number": "610-871-7200",
            "fax_number": "610-871-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 Manor St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176035052",
            "country_code": "US",
            "telephone_number": "610-871-7200",
            "fax_number": "610-871-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2185 Galloway Rd",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190202983",
            "country_code": "US",
            "telephone_number": "610-871-7200",
            "fax_number": "610-871-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 Kutztown Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196041508",
            "country_code": "US",
            "telephone_number": "610-871-7200",
            "fax_number": "610-871-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "728 S Beaver St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174012209",
            "country_code": "US",
            "telephone_number": "610-871-7200",
            "fax_number": "610-871-6210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "CASANDRA",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP013497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029801100014",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029801100017",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029801100005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029801100012",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029801100015",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029801100016",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029801100004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029801100006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott T McLeod DPM LLC
• Carolyn Simpson Scott, M.D.
• Danica Scott, CRNP
• Steven A Scott, MD
• Kristin Scrbacic, CRNP
• Joseph J Scuorzo, DO
• Anthony William Seago, DO
• Lynn A Seagreaves, PA
• Mary Seagreaves
• Jennifer Seale

• Women's Health Nurse Practitioner in Allentown, PA
• Providers in Allentown, PA by specialty
• Women's Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.