Individual provider Active NPI

Mandy Allison Marteney, REGISTERED NURSE

  • Registered Nurse
  • Somerset, PA
National Provider Identifier
1669989380
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN684452 Issued in PA
Practice address
600 Aberdeen Dr Ste a
Somerset, PA 15501-1737
Phone
(814) 445-3535
Fax
(814) 445-3245
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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 RN684452 PA Primary

Addresses

Primary practice location

600 Aberdeen Dr Ste a
Somerset, PA 15501-1737

Mailing address

600 Aberdeen Dr Ste a
Somerset, PA 15501-1737
Phone (814) 445-3535

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

LicenseStateTypeSpecialty
RN684452PAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1669989380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ABERDEEN DR STE A",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011737",
            "telephone_number": "814-445-3535",
            "fax_number": "814-445-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ABERDEEN DR STE A",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011737",
            "telephone_number": "814-445-3535",
            "fax_number": "814-445-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENEY",
        "first_name": "MANDY",
        "middle_name": "ALLISON",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN684452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.