MS. CASSANDRA LEE JENKINS (NPI# 1417203910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417203910 |
| Entity Type | Individual |
| Full Name | MS. CASSANDRA LEE JENKINS |
| Credential | RN |
| Practice Address |
1600 W Green Tree Rd #301 Glendale WI 53209-2955 |
| Practice Telephone | 4144465895 |
| Mailing Telephone | 4144465895 |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
86722-30 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366445 | Cassandra B Jenkins | Nurse Practitioner | 3675 W Waters Ave, Tampa, FL 33614-2783 | 2019-09-26 |
| Street Address |
1600 W GREEN TREE RD #301 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53209-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922384460 | Rita Louise Griffin | Registered Nurse | 5440 N 24th St, Glendale, WI 53209-5034 | 2011-10-28 |
| 1740370055 | Suzanne L. Thomas | Registered Nurse | 1509 Wilson Ter, Behavioral Health Outpatient Case Manager, Glendale, CA 91206-4007 | 2006-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781885 | Camila Anderson-fernandez | Registered Nurse | 110 Corrina Blvd Apt 468, Waukesha, WI 53186-3709 | 2020-05-09 |
| 1265078513 | Stephanie Soto | Registered Nurse | 3632 S 77th St, Milwaukee, WI 53220-1146 | 2019-11-21 |
| 1073072187 | Sara Marie Mehring | Registered Nurse | 222 Lincolnshire Pl Apt 202, Wales, WI 53183-9106 | 2019-03-18 |
| 1740755628 | Shelly L Devant | Registered Nurse | N4912 County Road P # 1, Helenville, WI 53137-9763 | 2018-10-08 |
| 1710463419 | Joyce R Jackson | Registered Nurse | 3533 N 76th St Apt 3, Milwaukee, WI 53222-3057 | 2018-07-16 |
| 1437537511 | Eleanor Sobkowiak | Registered Nurse | W6019 County Rd S, Onalaska, WI 54650-8810 | 2015-05-11 |
| 1053662452 | Traci Hoch | Registered Nurse | W1445 Berkans Rd, Fremont, WI 54940-8648 | 2012-09-25 |
| 1164771499 | Sherry Louise Hildebrandt | Registered Nurse | N71w39757 Lang Rd, Oconomowoc, WI 53066-1552 | 2012-08-31 |
| 1902183064 | Malissa L Washington | Registered Nurse | 7748 West Grantosa Drive, Milwaukee, WI 53218 | 2011-11-03 |
| 1396976254 | Mark Andrew Prescott | Registered Nurse | E13616 Idlewild Rd, Merrimac, WI 53561-9556 | 2009-07-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. CASSANDRA LEE JENKINS.
| 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.