Individual provider Active NPI

Deborah Scantlebury

  • Registered Nurse
  • Ann Arbor, MI
National Provider Identifier
1710343702
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704187567 Issued in MI
Practice address
2770 Carpenter Rd
Ann Arbor, MI 48108-4104
Phone
(734) 971-6300
Fax
(734) 971-1026
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704187567 MI Primary

Addresses

Primary practice location

2770 Carpenter Rd
Ann Arbor, MI 48108-4104

Mailing address

1450 King George Blvd
Ann Arbor, MI 48104-6924
Phone (734) 657-5230

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

State licenses

LicenseStateTypeSpecialty
4704187567MIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1710343702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 KING GEORGE BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046924",
            "telephone_number": "734-657-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CARPENTER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481084104",
            "telephone_number": "734-971-6300",
            "fax_number": "734-971-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANTLEBURY",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704187567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.