Samantha D Scanlan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041463768 Issued in IL

Practice address

41W400 Silver Glen Rd
St Charles, IL 60175-8453

Phone

(163) 094-0128

NPI assigned

Sep 27, 2023

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1932988185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 N HICKORY ST",
            "city": "CORTLAND",
            "state": "IL",
            "postal_code": "601124125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41W400 SILVER GLEN RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601758453",
            "telephone_number": "163-094-0128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1S450 Wyatt Dr",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344921",
            "country_code": "US",
            "telephone_number": "630-593-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCANLAN",
        "first_name": "SAMANTHA",
        "middle_name": "D",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041463768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Santo, LCSW
• Paul R. Sather, PHD
• Gina Marie Savani, D.M.D.
• Milan Savic, LSW
• Say It Therapy Services
• Kristine G Schaefer, OTR/L
• Leslee Marie Schilb
• Meredith Alayne Schindel, RPH.
• Michelle Schiopu
• Rebecca Schisler

• Registered Nurse in St Charles, IL
• Providers in St Charles, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.