Dementia Connection LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP010872 Issued in PA

Legal business name

DEMENTIA CONNECTION LLC

Practice address

2500 Adams Ave
Holy Family Residence
Scranton, PA 18509-1515

Phone

(570) 343-4065

Fax

(570) 343-0448

NPI assigned

Dec 21, 2010

Last updated

Dec 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan G. Scanland, CRNP GNP BCNPI 1740242064

Title

Ceo and Founder

Phone

(570) 586-0655

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Georgeann Scanland, CRNP

  • Gerontology Nurse Practitioner
  • Scranton, PA
  • NPI 1740242064
  Authorized official Same address or phone

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1942503560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 APPLE VALLEY CIR",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184119498",
            "telephone_number": "570-586-0655",
            "fax_number": "570-586-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ADAMS AVE",
            "address_2": "HOLY FAMILY RESIDENCE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091515",
            "telephone_number": "570-343-4065",
            "fax_number": "570-343-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMENTIA CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "SCANLAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO AND FOUNDER",
        "authorized_official_telephone_number": "570-586-0655",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP GNP BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "VP000593C",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP010872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "1583600PABS",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Delonti, CRNP
• Jeffrey Delossantos
• Austin Delp
• Edward Marc Delsole, M.D.
• Delta Medix PC
• Halil Emre Demirtas, M.D.
• Peggy Demont, LCADC
• Emily Kathryn Dempsey, PA-C
• Jennifer O'Brien Dempsey, DPM
• Ashley Davis Denaples, CRNP

• Gerontology Nurse Practitioner in Scranton, PA
• Providers in Scranton, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.