Individual provider Active NPI

Julie Scanlon, D.C.

  • Chiropractor
  • Glen Burnie, MD
National Provider Identifier
1922417864
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03795 Issued in MD
Practice address
227 Ferndale Rd
Glen Burnie, MD 21061-2437
Phone
(443) 618-3912
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F1-0000886 DE
Chiropractor 111N00000X DC010859 PA
Chiropractor 111N00000X S03795 MD Primary

Addresses

Primary practice location

227 Ferndale Rd
Glen Burnie, MD 21061-2437

Mailing address

175 Admiral Cochrane Dr Ste 204
Annapolis, MD 21401-7419
Phone (443) 433-0590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141003000337 MD Practitioner - Chiropractic 4486874021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yc Clinic LLCGroup PAC ID 9638110299, 5 clinicians

Practice addresses (Care Compare)

331 Oak Manor Dr
Glen Burnie, MD 21061-5548

331 Oak Manor Dr
Suite 101
Glen Burnie, MD 21061-5553
Phone (410) 766-4878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1-0000886DEMDChiropractor
S03795MDMDChiropractor
DC010859PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Yc Clinic LLC Chiropractor CurrentSince May 21, 2025 Accepting new patients
John L Michie DC PC CurrentSince Feb 28, 2023 Accepting new patients

Locations

175 Admiral Cochrane Dr
Ste 204
Annapolis, MD 21401
Phone (443) 433-0590

331 Oak Manor Dr
Ste 101
Glen Burnie, MD 21061
Phone (410) 766-4878

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1922417864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ADMIRAL COCHRANE DR STE 204",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017419",
            "telephone_number": "443-433-0590",
            "fax_number": "443-433-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 FERNDALE RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612437",
            "telephone_number": "443-618-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "JULIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000886",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010859",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.