Active NPI
Mary Byrne Klem, MS RD LDN
- Registered Dietitian
- Dunmore, PA
National Provider Identifier
1124197132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN000794
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN000794 | PA | MD | Registered 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Wright Center for Community Health | Federally qualified health center | Corporate Director | Dec 16, 2022 |
| The Wright Center for Community Health | Federally qualified health center | Corporate Director | Dec 16, 2022 |
| The Wright Center for Community Health | Federally qualified health center | Corporate Director | Dec 16, 2022 |
| The Wright Center for Community Health | Federally qualified health center | Corporate Director | Dec 16, 2022 |
| The Wright Center for Community Health | Federally qualified health center | Corporate Director | Dec 16, 2022 |
| The Wright Center for Community Health | Federally qualified health center | Corporate Director | Dec 16, 2022 |
| The Wright Center for Community Health | Federally qualified health center | Corporate Director | Dec 16, 2022 |
| The Wright Center for Community Health | Federally qualified health center | Corporate Director | Dec 16, 2022 |
| The Wright Center for Community Health | Federally qualified health center | Corporate Director | Dec 16, 2022 |
| The Wright Center for Community Health | Federally qualified health center | Corporate Director | Dec 16, 2022 |
| The Wright Center for Community Health | Federally qualified health center | Corporate Director | Dec 16, 2022 |
| The Wright Center for Community Health | Federally qualified health center | Corporate Director | Dec 16, 2022 |
| The Wright Center for Community Health | Federally qualified health center | Corporate Director | Dec 16, 2022 |
| The Wright Center for Community Health | Federally qualified health center | Corporate Director | Dec 16, 2022 |
| The Wright Center for Community Health | 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.
-
- Federally Qualified Health Center (FQHC)
- Scranton, PA
- NPI 1649836941
Corporate Director
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.