Active NPI
Mary Ellen Jeniskis
- Registered Nurse
- Exton, PA
National Provider Identifier
1497997084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN218695L
- Practice address
- 835 Springdale Dr
Suite 100
Exton, PA 19341-2841 - Phone
- (610) 363-1488
- Fax
- (484) 713-1030
- NPI assigned
- Mar 30, 2009
- Last updated
- Mar 30, 2009
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN218695L | PA | Primary |
Addresses
Primary practice location
835 Springdale Dr
Suite 100
Exton, PA 19341-2841
Mailing address
835 Springdale Dr
Suite 100
Exton, PA 19341-2841
Phone (610) 363-1488
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN218695L | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1497997084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 SPRINGDALE DR",
"address_2": "SUITE 100",
"city": "EXTON",
"state": "PA",
"postal_code": "193412841",
"telephone_number": "610-363-1488",
"fax_number": "484-713-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 SPRINGDALE DR",
"address_2": "SUITE 100",
"city": "EXTON",
"state": "PA",
"postal_code": "193412841",
"telephone_number": "610-363-1488",
"fax_number": "484-713-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENISKIS",
"first_name": "MARY ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-30",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN218695L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.