RANDON CARL JENKINS (NPI# 1093217218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093217218 |
| Entity Type | Individual |
| Full Name | RANDON CARL JENKINS |
| Practice Address |
4669 E 8 Mile Rd Warren MI 48091-2709 |
| Mailing Address |
6547 Windmill Ln West Bloomfield MI 48324-3759 |
| Practice Telephone | 3134166262 |
| Mailing Telephone | 3135167690 |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2018-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704273274 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4669 E 8 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48091-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144371279 | Detroit Healthcare for The Homeless | Clinic/Center | 4669 E 8 Mile Rd, Warren, MI 48091-2709 | 2007-01-16 |
| 1245750801 | Nicole Lynne Murn | Registered Nurse | 4669 E 8 Mile Rd, Warren, MI 48091-2709 | 2017-06-26 |
| 1174875918 | Indya Mitchell | Nurse Practitioner | 4669 E 8 Mile Rd, Warren, MI 48091-2709 | 2012-10-03 |
| 1487913125 | Ngu Thien Nguyen | Family Medicine | 4669 E 8 Mile Rd, Warren, MI 48091-2709 | 2012-05-15 |
| 1528355906 | Neethu Mathew | Family Medicine | 4669 E 8 Mile Rd, Warren, MI 48091-2709 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| Find all providers in zip 48091 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144830803 | Robert Eugene Scribner IIi | Nurse Practitioner | 13913 Toepfer Rd, Warren, MI 48089-5842 | 2020-08-06 |
| 1760029581 | Healthland Housecall Services LLC | Nurse Practitioner | 31700 Van Dyke Ave, Warren, MI 48093-7949 | 2019-12-01 |
| 1831753466 | Fares N Mubarez | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2019-04-29 |
| 1366966913 | Kimberly Fekety | Nurse Practitioner | 5954 Shaffer Rd Nw, Warren, OH 44481-9316 | 2017-07-26 |
| 1578940565 | Ann Krcmarik | Nurse Practitioner | 27101 Schoenherr Rd, Warren, MI 48088-4730 | 2015-04-29 |
| 1740219609 | Geertruida C Roer | Nurse Practitioner | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800768 | Yuri L Guzman | Nurse Practitioner | 795 N Ford Blvd, Ypsilanti, MI 48198-4116 | 2020-10-30 |
| 1124644661 | Denika Leflora Dalton | Nurse Practitioner | 5260 Fairway Trl, Grand Blanc, MI 48439-9445 | 2020-06-21 |
| 1780206995 | Jennifer Kay Marino | Nurse Practitioner | 20407 Mauer St, Saint Clair Shores, MI 48080-3789 | 2020-05-11 |
| 1720621709 | Kelsey Nicole Kloosterman | Nurse Practitioner | Susan P. Wheatlake Regional Cancer Center, 4499 220th Ave, Reed City, MI 49677 | 2019-10-23 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
| 1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
| 1134694292 | Sheryl Ann Newton | Nurse Practitioner | 810 W South St, Kalamazoo, MI 49007-4601 | 2018-10-04 |
| 1386123180 | Alison M Sesock | Nurse Practitioner | 5202 Miller Rd Ste B, Flint, MI 48507-1040 | 2018-08-13 |
| 1851886220 | Laura Maclam | Nurse Practitioner | 524 Marywood Dr Ne, Grand Rapids, MI 49505-4149 | 2018-06-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.