Active NPI
Kathryn Egreczky
- Registered Dietitian
- Scranton, PA
National Provider Identifier
1679998413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN001249
- Practice address
- MFHS Inc 315 Colfax Ave
3Rd Floor
Scranton, PA 18510-2524 - Phone
- (570) 961-5550
- Fax
- (570) 961-3844
- NPI assigned
- Mar 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN001249 | PA | Primary |
Addresses
Primary practice location
MFHS Inc 315 Colfax Ave
3Rd Floor
Scranton, PA 18510-2524
Mailing address
MFHS Inc 15 Public SQ
Suite 600
Wilkes-Barre, PA 18701-1702
Phone (570) 826-1777
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007678420040 | Medicaid | PA | |
| 1007678420041 | Medicaid | PA | |
| 1029006920001 | Medicaid | PA | |
| 1007678420042 | Medicaid | PA | |
| 1029006920002 | Medicaid | PA | |
| 1029006920003 | Medicaid | PA |
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 |
|---|---|---|---|
| DN001249 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1679998413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MFHS INC 15 PUBLIC SQ",
"address_2": "SUITE 600",
"city": "WILKES-BARRE",
"state": "PA",
"postal_code": "187011702",
"telephone_number": "570-826-1777",
"fax_number": "570-823-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MFHS INC 315 COLFAX AVE",
"address_2": "3RD FLOOR",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102524",
"telephone_number": "570-961-5550",
"fax_number": "570-961-3844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGRECZKY",
"first_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-04",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN001249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007678420040",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007678420041",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1029006920001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007678420042",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1029006920002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1029006920003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.