Active NPI
Avolio Corporation
- Nutrition Education Nutritionist
- Jeannette, PA
National Provider Identifier
1144384751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Legal business name
- AVOLIO CORPORATION
- Practice address
- 621 N. 4TH St
Suite 300
Jeannette, PA 15644-1750 - Phone
- (724) 523-6488
- Fax
- (724) 523-6680
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Jo Kramer, LPN
- Title
- Nurse Owner
- Phone
- (724) 523-6488
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | Primary | ||
| Licensed Practical Nurse | 164W00000X | PN072007L | PA | |
| Health Service Clinic/Center | 261QH0100X |
Addresses
Primary practice location
621 N. 4TH St
Suite 300
Jeannette, PA 15644-1750
Mailing address
621 N. 4TH St
Suite 300
Jeannette, PA 15644-1750
Phone (724) 523-6488
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000R598 | Other | PA | UPMC |
| 1045130 | Other | PA | AETNA HEALTH MANAGEMENT, |
| 78676 | Other | PA | HEALTH ASSURANCE |
Other names 1
- ARLINGTON MEDICAL NUTRITION CENTER
National Provider Directory
National Provider DirectoryLocations
621 N 4th St
Ste 300
Jeannette, PA 15644
Phone (724) 523-6488
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": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717113600000",
"number": "1144384751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 N. 4TH ST",
"address_2": "SUITE 300",
"city": "JEANNETTE",
"state": "PA",
"postal_code": "156441750",
"telephone_number": "724-523-6488",
"fax_number": "724-523-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 N. 4TH ST",
"address_2": "SUITE 300",
"city": "JEANNETTE",
"state": "PA",
"postal_code": "156441750",
"telephone_number": "724-523-6488",
"fax_number": "724-523-6680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVOLIO CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2024-05-31",
"status": "A",
"authorized_official_last_name": "KRAMER",
"authorized_official_first_name": "MARY JO",
"authorized_official_title_or_position": "NURSE OWNER",
"authorized_official_telephone_number": "724-523-6488",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN072007L",
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "000000R598",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH MANAGEMENT,",
"identifier": "1045130",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "78676",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ARLINGTON MEDICAL NUTRITION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jeannette, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.