Individual provider Active NPI

Mary Eileen Changoway, R.N.

  • Registered Nurse
  • New Castle, PA
National Provider Identifier
1275865552
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN217996L Issued in PA
Practice address
1000 S Mercer St
New Castle, PA 16101-4672
Phone
(724) 658-4688
Fax
(724) 658-8810
NPI assigned
Feb 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN217996L PA Primary

Addresses

Primary practice location

1000 S Mercer St
New Castle, PA 16101-4672

Mailing address

1000 S Mercer St
New Castle, PA 16101-4672
Phone (724) 658-4688

Other identifiers 1

IdentifierTypeStateIssuer
1016550810001MedicaidPA

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN217996LPAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1275865552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S MERCER ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014672",
            "telephone_number": "724-658-4688",
            "fax_number": "724-658-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S MERCER ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014672",
            "telephone_number": "724-658-4688",
            "fax_number": "724-658-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANGOWAY",
        "first_name": "MARY",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN217996L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016550810001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.