Jacklyn Kathleen Schaefer, NP-C, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP016202 Issued in PA

Practice address

6011 Baptist Rd Ste 200
Pittsburgh, PA 15236-3361

Phone

(412) 851-1200

Fax

(412) 851-1234

NPI assigned

Jun 17, 2016

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

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": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1649620980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 BAPTIST RD STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152363361",
            "telephone_number": "412-851-1200",
            "fax_number": "412-851-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 BAPTIST RD STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152363361",
            "telephone_number": "412-851-1200",
            "fax_number": "412-851-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "JACKLYN",
        "middle_name": "KATHLEEN",
        "credential": "NP-C, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Schachter, LCSW
• Craig Russell Schade, D.C.
• Cynthia Schade, RN
• Matthew S Schade
• Eric George Schaefer, PHARM.D.
• Justine Elisa Schaefer, DPT
• Kieran Allan Schaefer, MS
• Kiersten Reznik Schaefer, PA-C
• Andrea Schaeffer
• Emily Elaine Schaeffer, PA-C

• Family Nurse Practitioner in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.