Individual Healthcare Provider
Jennifer L Bainum, CPNP, PMHNP-BC
Provider's NPPES record last updated: August 23, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1225381437
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Suffolk, Virginia
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 2:33 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X Nurse Practitioner
Pediatrics
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0200X
Provider-Reported License Information
- Nurse Practitioner (Virginia)
- 0024177886
- Nurse Practitioner (California)
- 95011573
- Nurse Practitioner (Virginia)
- 0024177886
- Nurse Practitioner (California)
- 95011573
Practice Locations
Practice Location
1577 Wilroy Rd Ste 102
Suffolk, Virginia 23434-2433
Phone: (757) 204-5775
Additional Practice Location
3960 Virginia Beach Blvd Ste 101
Virginia Beach, Virginia 23452-2449
Phone: (757) 668-7007
Fax: (757) 668-8658
Additional Practice Location
680 Oyster Point Rd Ste 200
Newport News, Virginia 23606-4570
Phone: (757) 668-7007
Fax: (757) 668-8658
Additional Practice Location
817 Volvo Pkwy
Chesapeake, Virginia 23320-2855
Phone: (757) 668-7007
Fax: (757) 668-8658
Additional Practice Location
4445 Corporation Ln Ste 145
Virginia Beach, Virginia 23462-3611
Phone: (757) 204-5775
Fax: (757) 257-2320
Record Information
- Enumeration Date
- October 25, 2012
- Provider's NPPES Record Last Updated
- August 23, 2023
- Certification Date
- August 23, 2023
- NPISignal NPPES Dataset
- August 2026
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