Individual provider Active NPI

Mary Lou D. Bremser, CRNP

  • School Registered Nurse
  • Newtown Square, PA
National Provider Identifier
1932180197
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN295271L Issued in PA
Practice address
30 Horseshoe LN.
Newtown Square, PA 19073-2923
Phone
(610) 667-2485
NPI assigned
Nov 7, 2005
Last updated
Sep 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X SP008235 PA
School Registered Nurse 163WS0200X RN295271L PA Primary

Addresses

Primary practice location

30 Horseshoe LN.
Newtown Square, PA 19073-2923

Mailing address

30 Horseshoe LN
Newtown Square, PA 19073-2923
Phone (610) 667-2485

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN295271LPAMDSchool Registered Nurse
SP008235PAMDSchool Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1932180197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HORSESHOE LN",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732923",
            "telephone_number": "610-667-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HORSESHOE LN.",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732923",
            "telephone_number": "610-667-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMSER",
        "first_name": "MARY LOU",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "PA",
            "license": "SP008235",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "PA",
            "license": "RN295271L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.