Jeannine Patrick-Blaikie, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

VP006532C Issued in PA

Practice address

292 Frantz Rd
Ste 108
Stroudsburg, PA 18360-7455

Phone

(570) 426-2960

Fax

(570) 426-2965

NPI assigned

Mar 21, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

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.

• PA Vascular Institute LLC

  • Vascular & Interventional Radiology Physician
  • East Stroudsburg, PA
  • NPI 1326310806
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1083739502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E BROWN ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013006",
            "telephone_number": "570-420-4951",
            "fax_number": "570-476-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 FRANTZ RD",
            "address_2": "STE 108",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607455",
            "telephone_number": "570-426-2960",
            "fax_number": "570-426-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK-BLAIKIE",
        "first_name": "JEANNINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "VP006532C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE",
            "identifier": "VP006532C",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Particka
• Sandra Pascal, D.O.
• Ankita Patel
• Jwalant R. Patel, M.D.
• Nainesh M Patel, PHARM D
• Peace of Mind Counseling Inc
• Pearle Vision Inc
• Aifer Pendeva
• Pennsylvania CVS Pharmacy LLC
• Pennsylvania CVS Pharmacy, L.L.C.

• Adult Health Nurse Practitioner in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.