Jeanine Engelmann, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000717 Issued in NY

Practice address

2300 Adams Ave
Scranton, PA 18509

Phone

(570) 348-6211

NPI assigned

Feb 11, 2016

Last updated

Aug 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1588023170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ADAMS AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091514",
            "telephone_number": "570-348-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ADAMS AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18509",
            "telephone_number": "570-348-6211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Stony Brook University",
            "address_2": "G-33 Indoor Sports Complex",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117943504",
            "country_code": "US",
            "telephone_number": "631-632-4394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGELMANN",
        "first_name": "JEANINE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emergency Services PC
• Emergency Services, PC
• Kimberly Lynn Emick, OTR/L CLT
• Empowered Resilience
• Gregory H Enders, M.D.
• Richard B English, MD
• Enrichment Therapy Services
• Kristofer Erdman, CRNA
• Janet Elizabeth Erickson, M.D.
• Chelsea Lynn Erie, FNP-C

• Athletic Trainer in Scranton, PA
• Providers in Scranton, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.