Marybeth Sprague, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN273961 Issued in PA

Practice address

118 Monahan Ave
Dunmore, PA 18512-1700

Phone

(570) 344-5327

Fax

(570) 342-1891

NPI assigned

May 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1154904472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MONAHAN AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185121700",
            "telephone_number": "570-406-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MONAHAN AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185121700",
            "telephone_number": "570-344-5327",
            "fax_number": "570-342-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "MARYBETH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN273961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Smith
• Kristy Sohns, LPC
• Gerald Augustus Solfanelli, M.S.
• Julie M Speicher, MD
• Casimir Chaz Speller, BS
• Sean Sprague, B.A PSYCH
• Amanda G Stanley, DPT
• Lisa L Starr, M.A.
• Sarah Stavisky, BS
• Katherine Judithlynn Stefanelli, LPC

• Licensed Practical Nurse in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.