Kristine Terese Scanlan, RD, LDN, MS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

116 Interstate Pkwy
Bradford, PA 16701-1036

Phone

(814) 368-4143

NPI assigned

Sep 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1992013296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ORCHARD PL",
            "address_2": "APT. 205",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011072",
            "telephone_number": "330-416-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 INTERSTATE PKWY",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011036",
            "telephone_number": "814-368-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLAN",
        "first_name": "KRISTINE",
        "middle_name": "TERESE",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "6588",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamran Saleh, M.D.
• Arjun Pratap Singh Sandhu
• Henry Sauer Jr., PA-C
• Janine Sauers, MS, CCC-SLP/L
• Shayne Nathan Saunders, PHARM.D.
• Kimberly Lynn Schmader, MS CCC SLP
• Michele A Schultz, RN
• Denise A Seagren Peterson, CADC
• Becky McKeirnan Seefeldt, CRNP
• Alyssa Theresa Seelye, MS CCC-SLP

• Registered Dietitian in Bradford, PA
• Providers in Bradford, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.