Active NPI
Beverly Barone Tomasetti, NP
- Adult Health Nurse Practitioner
- Scranton, PA
National Provider Identifier
1700901170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- VP005863B
- Practice address
- 225 Penn Ave
Scranton, PA 18503-1921 - Phone
- (570) 342-7864
- Fax
- (570) 342-7119
- NPI assigned
- Mar 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | VP005863B | PA | Primary |
| Clinical Nurse Specialist | 364S00000X | VP005863B | PA |
Addresses
Primary practice location
225 Penn Ave
Scranton, PA 18503-1921
Mailing address
225 Penn Ave
Scranton, PA 18503-1921
Phone (570) 342-7864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VP005863B | PA | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Medix PC | Current | Accepting new patients | |
| Wayne Memorial Hospital | Current | Accepting new patients | |
| Wayne Memorial Hospital | Current | Accepting new patients | |
| Pathology Associates of NE PA LTD | Past | Accepting new patients | |
| Vascular Diagnostic Center PC | Past | Accepting new patients |
Locations
601 Park St
Honesdale, PA 18431
Phone (570) 253-8100
1400 Main St
Peckville, PA 18452
Phone (570) 307-7600
5 Morgan Hwy
Ste 7
Scranton, PA 18508
Phone (570) 342-7864
300 Lackawanna Ave
Unit 200
Scranton, PA 18503
Phone (570) 342-7864
Interoperability endpoints
- beverly.tomasetti.crnp.1@30200.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Legal Medicine
- Scranton, PA
- NPI 1396701876
-
- General Acute Care Hospital
- Honesdale, PA
- NPI 1124026182
-
- General Acute Care Hospital
- Honesdale, PA
- NPI 1649573023
-
- Anatomic Pathology & Clinical Pathology Physician
- Dunmore, PA
- NPI 1528022142
-
- Vascular & Interventional Radiology Physician
- Scranton, PA
- NPI 1255308441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1700901170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 PENN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031921",
"telephone_number": "570-342-7864",
"fax_number": "570-342-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 PENN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031921",
"telephone_number": "570-342-7864",
"fax_number": "570-342-7119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMASETTI",
"first_name": "BEVERLY",
"middle_name": "BARONE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "VP005863B",
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "PA",
"license": "VP005863B",
"primary": false
}
],
"identifiers": [],
"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 Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.