Stephanie A. Jennings, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

TP005534B Issued in PA

Practice address

300 Community Dr Ste E
Suite E
Tobyhanna, PA 18466-8992

Phone

(570) 839-9880

Fax

(570) 839-9885

NPI assigned

Apr 10, 2006

Last updated

Dec 11, 2012By the provider in NPPES

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Isaac Health, P.a.Group PAC ID 1850767880, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Isaac Health, P.a.

  dba Isaac Health

  • Neurology Physician
  • New York, NY
  • NPI 1750012019

  PA

  Medicare reassignment Care Compare group NPD
• Shaikh Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Tobyhanna, PA
  • NPI 1396932638
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1871556993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR STE E",
            "address_2": "SUITE E",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668992",
            "telephone_number": "570-839-9880",
            "fax_number": "570-839-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR STE E",
            "address_2": "SUITE E",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668992",
            "telephone_number": "570-839-9880",
            "fax_number": "570-839-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "STEPHANIE",
        "middle_name": "A.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP005534B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Hendricks
• Tajul Islam, D.D.S.
• Kareema Jackson
• Donald M Jaken, RPH
• Andrew Jefferson
• Heath Jones, MOTRL
• Anisha Nicole Jongay-Hudson
• Kristin Marie Kachmar, LSW
• Keller Army Community Hospital (Usaohc Tobyhanna Army Depot)
• Keller Army Community Hospital

• Nurse Practitioner in Tobyhanna, PA
• Providers in Tobyhanna, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.