Individual provider Active NPI

Mary Byrne Klem, MS RD LDN

  • Registered Dietitian
  • Dunmore, PA
National Provider Identifier
1124197132
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN000794 Issued in PA
Practice address
1000 Meade St Ste 205
Dunmore, PA 18512-3197
Phone
(570) 983-3761
Fax
(570) 256-1057
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN000794 PA Primary
Oncology Nutrition Registered Dietitian 133VN1301X DN000794 PA

Addresses

Primary practice location

1000 Meade St Ste 205
Dunmore, PA 18512-3197

Mailing address

231 Chapman Lake Rd
Scott TWP, PA 18433-7718
Phone (570) 254-6495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000436 PA Practitioner - Registered Dietitian Or Nutrition Professional 5395847511 Practice locations: Dunmore, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN000794PAMDRegistered Dietitian

Ownership & related parties

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Wright Center for Community HealthScranton, PA, CCN 391135 Federally qualified health center Corporate Director Dec 16, 2022
The Wright Center for Community HealthSouth Abington Township, PA, CCN 391137 Federally qualified health center Corporate Director Dec 16, 2022
The Wright Center for Community HealthScranton, PA, CCN 391138 Federally qualified health center Corporate Director Dec 16, 2022
The Wright Center for Community HealthScranton, PA, CCN 391139 Federally qualified health center Corporate Director Dec 16, 2022
The Wright Center for Community HealthScranton, PA, CCN 391129 Federally qualified health center Corporate Director Dec 16, 2022
The Wright Center for Community HealthScranton, PA, CCN 391130 Federally qualified health center Corporate Director Dec 16, 2022
The Wright Center for Community HealthJermyn, PA, CCN 391140 Federally qualified health center Corporate Director Dec 16, 2022
The Wright Center for Community HealthHonesdale, PA, CCN 391150 Federally qualified health center Corporate Director Dec 16, 2022
The Wright Center for Community HealthHawley, PA, CCN 391188 Federally qualified health center Corporate Director Dec 16, 2022
The Wright Center for Community HealthCovington Township, PA, CCN 731980 Federally qualified health center Corporate Director Dec 16, 2022
The Wright Center for Community HealthWilkes Barre, PA, CCN 731091 Federally qualified health center Corporate Director Dec 16, 2022
The Wright Center for Community HealthScranton, PA, CCN 731145 Federally qualified health center Corporate Director Dec 16, 2022
The Wright Center for Community HealthDickson City, PA, CCN D31014 Federally qualified health center Corporate Director Dec 16, 2022
The Wright Center for Community HealthTunkhannock, PA, CCN D31015 Federally qualified health center Corporate Director Dec 16, 2022
The Wright Center for Community HealthScranton, PA, CCN D31023 Federally qualified health center Corporate Director Dec 16, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1124197132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CHAPMAN LAKE RD",
            "city": "SCOTT TWP",
            "state": "PA",
            "postal_code": "184337718",
            "telephone_number": "570-254-6495",
            "fax_number": "570-256-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEADE ST STE 205",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123197",
            "telephone_number": "570-983-3761",
            "fax_number": "570-256-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEM",
        "first_name": "MARY",
        "middle_name": "BYRNE",
        "credential": "MS RD LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN000794",
            "primary": true
        },
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "PA",
            "license": "DN000794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

Verify at the official NPI Registry.