Active NPI
Elizabeth Ann Scanlon, ARNP
- Nurse Practitioner
- Cape Coral, FL
National Provider Identifier
1952359416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN3265172
- Practice address
- 650 Del Prado Blvd.
Suite 103
Cape Coral, FL 33990 - Phone
- (239) 768-2111
- Fax
- (239) 482-4404
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | RN3265172 | FL | |
| Nurse Practitioner | 363L00000X | RN3265172 | FL | Primary |
Addresses
Primary practice location
650 Del Prado Blvd.
Suite 103
Cape Coral, FL 33990
Mailing address
12550 Professional Park Dr.
Suite 11
Fort Myers, FL 33913
Phone (239) 768-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302930100 | Medicaid | FL |
Other names 1
- Ms. Elizabeth Ann Tipton
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN3265172 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Coast Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- escanlon@icpeds.opdirect.net
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Fort Myers, FL
- NPI 1215962386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1952359416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12550 PROFESSIONAL PARK DR.",
"address_2": "SUITE 11",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33913",
"telephone_number": "239-768-2111",
"fax_number": "239-482-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 DEL PRADO BLVD.",
"address_2": "SUITE 103",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "33990",
"telephone_number": "239-768-2111",
"fax_number": "239-482-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCANLON",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "RN3265172",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "RN3265172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302930100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "TIPTON",
"middle_name": "ANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.