KATIE ELIZABETH SCANLON NPI 1043691637

NPI Information

  • NPI: 1043691637
  • Provider Name: KATIE ELIZABETH SCANLON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 170 BURWELL ST
    LITTLE FALLS, NY
    ZIP 13365
  • Phone: (315) 823-4546

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NPI Details

Katie Elizabeth Scanlon is a family nurse practitioner in Little Falls, NY with 11 years of experience. Katie Elizabeth Scanlon NPI is 1043691637. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

170 BURWELL ST
LITTLE FALLS, NY
ZIP 13365-716
Phone: (315) 823-4546
Fax: (315) 823-4760

The NPI 1043691637 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2015 and was last updated on 6/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily339639NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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