Active NPI
Marie Elizabeth Vegliante, CNRP
- Nurse Practitioner
- Paoli, PA
National Provider Identifier
1750049706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP030714
- Practice address
- 2 Industrial Blvd Ste 100
Paoli, PA 19301-1645 - Phone
- (610) 407-9000
- NPI assigned
- Dec 6, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 12441775-3102 | UT | |
| Registered Nurse | 163W00000X | RN650054 | PA | |
| Nurse Practitioner | 363L00000X | 12441775-4405 | UT | |
| Pediatric Nurse Practitioner | 363LP0200X | 12441775-4405 | UT | |
| Nurse Practitioner | 363L00000X | SP030714 | PA | Primary |
Addresses
Primary practice location
2 Industrial Blvd Ste 100
Paoli, PA 19301-1645
Mailing address
2 Industrial Blvd Ste 100
Paoli, PA 19301-1645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- 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 |
|---|---|---|---|
| RN650054 | PA | MD | Registered Nurse |
| SP030714 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Children'S Hospital of Philadelphia | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
4403 Harrison Blvd
Ste 4875
Ogden, UT 84403
Phone (801) 387-4500
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Clinic/Center
- Logan, UT
- NPI 1417354945
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Pediatrics Physician
- Erdenheim, PA
- NPI 1831262732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1750049706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 INDUSTRIAL BLVD STE 100",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 INDUSTRIAL BLVD STE 100",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011645",
"telephone_number": "610-407-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGLIANTE",
"first_name": "MARIE",
"middle_name": "ELIZABETH",
"credential": "CNRP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-06",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "12441775-3102",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN650054",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "12441775-4405",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "UT",
"license": "12441775-4405",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP030714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.