Jennilyn Jackman Baptiste, MS, RD, CDN

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

003629-1 Issued in NY

Practice address

1864 Clove Rd
Suite D
Staten Island, NY 10304-1631

Phone

(347) 242-9804

Fax

(718) 981-4580

NPI assigned

Sep 19, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Federation Employment and Guidance Service, Inc

  • Developmental Disabilities Clinic/Center
  • New York, NY
  • NPI 1942243084
  NPD (past)

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

{
    "created_epoch": "1253318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285372800000",
    "number": "1770817041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320648",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112320648",
            "telephone_number": "347-242-9804",
            "fax_number": "718-981-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 CLOVE RD",
            "address_2": "SUITE D",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041631",
            "telephone_number": "347-242-9804",
            "fax_number": "718-981-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAPTISTE",
        "first_name": "JENNILYN",
        "middle_name": "JACKMAN",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-19",
        "last_updated": "2010-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "003629-1",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": "003629-1",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "003629-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burton Banner, M.D.
• Nisha Bansal, MD
• Maria Bansfield, RN
• Rafiat Banwo, OTD, OTR/L
• Abdul Haseeb Bapar
• Ralph Bar-El, DO
• Patricia Effie Barakakos, MA
• Iskandar Barakat, M.D.
• Pierre G Barakat, MD
• Salim Barakat, M.D

• Nutrition Education Nutritionist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Nutrition Education Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2010; 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.