Active NPI
Mary Beth Mecca, CRNP
- Adult Health Nurse Practitioner
- Eynon, PA
National Provider Identifier
1760860449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP014810
- Practice address
- 940 Scranton Carbondale Highway
Eynon, PA 18403 - Phone
- (570) 521-6722
- Fax
- (570) 876-1692
- NPI assigned
- May 13, 2015
- Last updated
- May 13, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP014810 | PA | Primary |
Addresses
Primary practice location
940 Scranton Carbondale Highway
Eynon, PA 18403
Mailing address
940 Scranton Carbondale Highway
Eynon, PA 18403
Phone (570) 521-6722
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1760860449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 SCRANTON CARBONDALE HIGHWAY",
"city": "EYNON",
"state": "PA",
"postal_code": "18403",
"telephone_number": "570-521-6722",
"fax_number": "570-876-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 SCRANTON CARBONDALE HIGHWAY",
"city": "EYNON",
"state": "PA",
"postal_code": "18403",
"telephone_number": "570-521-6722",
"fax_number": "570-876-1692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECCA",
"first_name": "MARY BETH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-13",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP014810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eynon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.