Organization Active NPI

Become Empowered

  • Peer Specialist
  • Scranton, PA
National Provider Identifier
1053911313
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
BECOME EMPOWERED
Practice address
529 Wyoming Ave
Scranton, PA 18509-3009
Phone
(570) 892-0302
NPI assigned
Oct 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Angela GilgallonNPI 1013575687
Title
Founder
Phone
(570) 892-0302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

529 Wyoming Ave
Scranton, PA 18509-3009

Mailing address

2128 Comegys Ave
Scranton, PA 18509-1309

National Provider Directory

National Provider Directory

Locations

529 Wyoming Ave
Scranton, PA 18509
Phone (570) 892-0302

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1053911313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 COMEGYS AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 WYOMING AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185093009",
            "telephone_number": "570-892-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECOME EMPOWERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "GILGALLON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "570-892-0302"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.