Mary P. Spengler, CRNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

TP 003616G Issued in PA

Practice address

501 Cetronia Rd Ste 120
Allentown, PA 18104-9569

Phone

(484) 426-2520

Fax

(866) 849-6463

NPI assigned

Oct 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Pain Specialists of Greater Lehigh Valley, P.C.

  • Pain Medicine Physician
  • Allentown, PA
  • NPI 1679560403

  Family

  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1710975552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAINT LUKE'S HOSPITAL",
            "address_2": "801 OSTRUM STREET",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180154009",
            "telephone_number": "610-954-4761",
            "fax_number": "610-954-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CETRONIA RD STE 120",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049569",
            "telephone_number": "484-426-2520",
            "fax_number": "866-849-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENGLER",
        "first_name": "MARY",
        "middle_name": "P.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN243934L",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007604",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP007604",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "TP 003616G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "339377",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00096351",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHP CENTRAL",
            "identifier": "0339377",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Specialty Physicians of LVHN PC
• Specialty Physicians of LVHN PC
• Cassandra Spence
• Kristin Spence
• Shelley M. Spence, MS, OTR/L
• Kimberly Spering, CRNP
• Frank Sperrazza, D.O.
• Jaclyn Sperrazza, D.O.
• Bryn Marie Spezialetti, PA-C
• Lorraine J Spikol, MD

• Obstetrics & Gynecology Nurse Practitioner in Allentown, PA
• Providers in Allentown, PA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.