Mary Lou Mackievich, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP000841A Issued in PA

Practice address

918 3Rd Ave
Beaver Falls, PA 15010-4613

Phone

(724) 843-6000

NPI assigned

Dec 11, 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639239890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PATTERSON RD",
            "city": "NEW GALILEE",
            "state": "PA",
            "postal_code": "161414616",
            "telephone_number": "724-336-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 3RD AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104613",
            "telephone_number": "724-843-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIEVICH",
        "first_name": "MARY LOU",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP000841A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lowe Willzz, LLC
• Wilda Lowe
• Katherine Lowery
• Jessica Lynch
• Joshua Arin Mackenstein, MA
• Valerie Lynn Malinowski
• Max C Maloney, LSW
• Nicole Marie Mansfield, PTA
• Mari Wargo-Dorsey, DPM
• Lacey M Marks, LCSW

• Family Nurse Practitioner in Beaver Falls, PA
• Providers in Beaver Falls, PA by specialty
• Family Nurse Practitioner 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.