REBECCA JENKINS (NPI# 1164059085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164059085 |
Entity Type | Individual |
Full Name | REBECCA JENKINS |
Credential | DO |
Practice Address |
102 E Ravine Rd Kingsport TN 37660-3814 |
Mailing Address |
7254 Homeview Ln Apt 104 Erie PA 16509-4328 |
Practice Telephone | 4232459600 |
Mailing Telephone | 4237948325 |
Enumeration Date | 2020-03-23 |
Last Update Date | 2020-03-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124426275 | Rebecca Sue Jenkins | Home Health Aide | 3523 Whippoorwill Rd, Louisville, KY 40213 | 2014-12-05 |
1285613893 | Rebecca Lynn Jenkins | Family Medicine | 5 N Federal Ave Ste 104, Mason City, IA 50401-3270 | 2006-01-11 |
1881032977 | Rebecca Jenkins | Social Worker | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2013-06-11 |
1265877021 | Rebecca Lynn Jenkins | Case Manager/Care Coordinator | 7205 S George Blvd, Sebring, FL 33875-5847 | 2013-05-07 |
1366780025 | Rebecca Jenkins | Physician Assistant | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2013-01-30 |
1467767046 | Rebecca Helen Jenkins | Social Worker | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2010-08-08 |
1326262023 | Rebecca Ann Jenkins | Nurse Practitioner | 1400 N Ritter Ave, Suite 520, Indianapolis, IN 46219-3052 | 2007-04-12 |
1912045485 | Rebecca L Jenkins | Licensed Practical Nurse | 209 W Criser Rd, Suite 300, Front Royal, VA 22630-2360 | 2007-02-04 |
1669550067 | Rebecca Jenkins | Physical Therapist | 2500 Quantum Lakes Dr, Suite 108, Boynton Beach, FL 33426-8324 | 2006-11-02 |
Street Address |
102 E RAVINE RD |
City | KINGSPORT |
State | TN |
Zip Code | 37660-3814 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285637124 | Peter B Platzer | Family Medicine | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2005-05-24 |
1164041869 | Monique Renesha Spears | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2020-04-13 |
1598393548 | Kelsey King-hook | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2020-03-27 |
1407483894 | Michael Saval | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2020-03-25 |
1235766973 | Logan Eugene Lucas | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2020-03-24 |
1649834664 | Greggory Earl Watlington Jr. | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2019-04-24 |
1982167110 | Trask A Printz | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2019-04-14 |
1518420595 | Bruce Cody Winegar | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2019-04-08 |
1851852321 | Kiley Morgan Perethian | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2019-03-27 |
1972063444 | Jack Larsen | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2019-03-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
Find all providers in zip 37660 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124588249 | Michael Donald Stallard | Student in an Organized Health Care Education/Training Program | 5219 Caintuck Rd, Kingsport, TN 37664-6516 | 2019-03-24 |
1144737792 | Tiffany Shelton | Student in an Organized Health Care Education/Training Program | 2216 Swannanoa Ave, Kingsport, TN 37664-3631 | 2018-01-04 |
1871858845 | Jason Ryan Link Ho Tsang | Student in an Organized Health Care Education/Training Program | 201 Cassel Dr, Kingsport, TN 37660-3747 | 2012-07-05 |
1164041869 | Monique Renesha Spears | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2020-04-13 |
1598393548 | Kelsey King-hook | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2020-03-27 |
1922635119 | Kevin Cheshire | Student in an Organized Health Care Education/Training Program | 130 W Ravine Rd Ste 9c, Kingsport, TN 37660-3837 | 2020-03-26 |
1407483894 | Michael Saval | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2020-03-25 |
1093342883 | Eric Scott Taris | Student in an Organized Health Care Education/Training Program | 130 W Ravine Rd Ste 9c, Kingsport, TN 37660-3837 | 2020-03-24 |
1235766973 | Logan Eugene Lucas | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2020-03-24 |
1649834664 | Greggory Earl Watlington Jr. | Student in an Organized Health Care Education/Training Program | 102 E Ravine Rd, Kingsport, TN 37660-3814 | 2019-04-24 |
Find all providers in KINGSPORT |
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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.