Jarvis Montgomery Schaffer, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP029993 Issued in PA

Practice address

1247 S Cedar Crest Blvd Ste 107
Allentown, PA 18103-6347

Phone

(484) 202-0751

NPI assigned

Jul 3, 2024

Last updated

Jul 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jarvis.schaffer.1@32853.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blackbird Clinical Services PC

  • Child & Adolescent Psychiatry Physician
  • Allentown, PA
  • NPI 1598524563
  NPD
• Children's Integrated Center for Success

  • Family Nurse Practitioner
  • Allentown, PA
  • NPI 1447670708
  NPD (past)

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1255177762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 LEHIGH GAP ST",
            "city": "WALNUTPORT",
            "state": "PA",
            "postal_code": "180881321",
            "telephone_number": "570-956-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 S CEDAR CREST BLVD STE 107",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036347",
            "telephone_number": "484-202-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "JARVIS",
        "middle_name": "MONTGOMERY",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joleen Marie Schade, CRNP
• Daniel M Schaefer, LPC
• Kathryn Havas Schaefer
• Amanda H Schaeffer, PA
• Faith Schafer, PA-C
• Matthew James Schaffer, MS, LPC
• Melissa G. Schaffer, MSW, LCSW
• Pamela Kaye Schaffer, MS
• Henry Louis Schairer Jr., M.D.
• Emma Ann Schanzenbach, MD

• Psychiatric/Mental Health Nurse Practitioner in Allentown, PA
• Providers in Allentown, 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 3, 2024; 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.