Maryann Nancy Fada, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN190268L Issued in PA

Practice address

700 E Norwegian St
Pottsville, PA 17901-2710

Phone

(570) 621-4000

NPI assigned

Jul 23, 2006

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regional Gastroenterology Associates of Lancaster, LTD.

  • Gastroenterology Physician
  • Lancaster, PA
  • NPI 1154422806
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265453153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 W WHITE BEAR DR",
            "city": "SUMMIT HILL",
            "state": "PA",
            "postal_code": "182501741",
            "telephone_number": "570-645-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E NORWEGIAN ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012710",
            "telephone_number": "570-621-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADA",
        "first_name": "MARYANN",
        "middle_name": "NANCY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN190268L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene I Bogage Optometry
• Jennifer Lynn Evans, ATC
• Stephen Evans, D.O.
• Eye Consultants of Pennsylvania, PC
• Karen P Fabrizio, CRNP
• Tammy Falisi, PTA
• Rachel Falk, CRNP
• Susan Elaine Farnsworth, MED, LPC,CAC-D, SAP
• Mary E Faust
• Camilla Feger

• Certified Registered Nurse Anesthetist in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.