Jeannie Dawn Bauer, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP023887 Issued in PA

Practice address

Bay City Psychiatry
3250 West Lake Road
Erie, PA 16505-1650

Phone

(814) 454-1085

NPI assigned

Jul 14, 2021

Last updated

Jul 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jeannie Dawn Burch Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1073185583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WYOMING AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053833",
            "telephone_number": "814-897-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAY CITY PSYCHIATRY",
            "address_2": "3250 WEST LAKE ROAD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165051650",
            "telephone_number": "814-454-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JEANNIE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP023887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Erie",
            "affiliation": "N",
            "address_1": "Bay City Psychiatry",
            "address_2": "3250 West Lake Road",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165051650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JEANNIE",
            "last_name": "BURCH",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew J Bates
• Carrie Battaglia, ED.D, RDN
• Anthony Thomas Battista Jr., DO
• Barbara E Bauda, MA
• Paula Christine Bauda, NP
• Matthew J Bauer, DPT
• Robert F. Bauer, DPM
• Stephanie Marie Bauer, LPC, NCC
• Zane Baughman
• Emily Bauman, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Erie, PA
• Providers in Erie, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.