Maryjo Kramer, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN072007L Issued in PA

Practice address

621 N 4TH St
Suite 300
Jeannette, PA 15644-1750

Phone

(724) 523-6488

Fax

(724) 523-6680

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Avolio Corporation

  • Nutrition Education Nutritionist
  • Jeannette, PA
  • NPI 1144384751

  Nutrition, Education

  NPD Authorized official
• Avolio Corporation

  • Durable Medical Equipment & Medical Supplies
  • Jeannette, PA
  • NPI 1235295932
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1700940400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N 4TH ST",
            "address_2": "SUITE 300",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156441750",
            "telephone_number": "724-523-6488",
            "fax_number": "724-523-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N 4TH ST",
            "address_2": "SUITE 300",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156441750",
            "telephone_number": "724-523-6488",
            "fax_number": "724-523-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "MARYJO",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN072007L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "78676",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH MANAGEMENT,",
            "identifier": "1045130",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "251783507",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPEE INSURANCE",
            "identifier": "2517835070001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "000000R598",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keystone Neuro-Rehab, Inc
• Gina Teresa Klein, RPH
• Emma Knight McGowan, MD
• Stephanie Kottelich
• Natalie Christine Kraly, CRNP
• Heather Kress, MS, CCC-SLP
• Timothy Kubistek, PT
• Cheri Ledbetter
• Maureen E Leonardo, CRNP
• Mark Timothy Levander, DC

• All providers in Jeannette, PA
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.