Janelle Marie Stank, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP009384 Issued in PA

Practice address

228 Shawnee Rd
Ardmore, PA 19003-1725

Phone

(610) 642-6243

NPI assigned

Aug 5, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Vista Medical Services, Inc.

  • Psychiatry Physician
  • Bala Cynwyd, PA
  • NPI 1659452027
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1891986071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 MCCALLUM ST",
            "address_2": "#12 EAST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193154",
            "telephone_number": "215-843-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 SHAWNEE RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031725",
            "telephone_number": "610-642-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANK",
        "first_name": "JANELLE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP009384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP",
            "identifier": "SP009384",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William M Singletary, M.D.
• Cheryl Lynne Smith, MS
• Alexandra Marie Solazzo, LPC
• Monette Flores Solomon, CRNP, AGPCNP-BC
• Cassandra Alaina Stache, DPM
• Stanley Schwartz MD, LLC
• Cassandra Stockwell-Suarez, RDN, IBCLC
• Stone Arbor Counseling LLC
• Luna Sulollari
• Support for Independent Living, LLC

• Psychiatric/Mental Health Nurse Practitioner in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.