Active NPI
Valery Maryellen Square
- Personal Care Attendant
- Steelton, PA
National Provider Identifier
1275223117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 96C08A27C81842EFBB39
- Practice address
- 155 Conestoga St
Steelton, PA 17113-2263 - Phone
- (223) 667-4238
- Fax
- (717) 828-4845
- NPI assigned
- May 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Information Technician | 247000000X | LA | ||
| Chore Provider | 372500000X | |||
| Personal Care Attendant | 3747P1801X | 96C08A27C81842EFBB39 | PA | Primary |
Addresses
Primary practice location
155 Conestoga St
Steelton, PA 17113-2263
Mailing address
155 Conestoga St
Steelton, PA 17113-2263
Phone (223) 667-4238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96C08A27C81842EFBB39 | PA | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684022400000",
"number": "1275223117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 CONESTOGA ST",
"city": "STEELTON",
"state": "PA",
"postal_code": "171132263",
"telephone_number": "223-667-4238",
"fax_number": "717-828-4845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CONESTOGA ST",
"city": "STEELTON",
"state": "PA",
"postal_code": "171132263",
"telephone_number": "223-667-4238",
"fax_number": "717-828-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUARE",
"first_name": "VALERY",
"middle_name": "MARYELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-12",
"last_updated": "2023-05-14",
"certification_date": "2023-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "247000000X",
"taxonomy_group": "",
"desc": "Technician, Health Information",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "PA",
"license": "96C08A27C81842EFBB39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Steelton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.