MRS. CONNIE JENKINS (NPI# 1841488004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841488004 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE JENKINS |
| Practice Address |
4510 Peralta Blvd Suite 1 Fremont CA 94536-5755 |
| Practice Telephone | 5107133202 |
| Practice Fax Number | 5107130684 |
| Mailing Telephone | 5107133202 |
| Mailing Fax Number | 5107130684 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
J0412282011 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BREINING INSTITUTE | J0412282011 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134524846 | Connie Jenkins | Registered Nurse | 1431 W Fairview Dr, Baton Rouge, LA 70816-7408 | 2014-10-24 |
| 1376922153 | Connie Jenkins | Social Worker | 3791 State Route 63, Lebanon, OH 45036-9371 | 2015-05-26 |
| 1851661607 | Connie Jenkins | Social Worker | 152 Highway 7 S, Oxford, MS 38655-5392 | 2012-01-11 |
| 1861518193 | Connie L Jenkins | Case Manager/Care Coordinator | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2007-03-21 |
| 1952479115 | Connie S Jenkins | Psychiatry & Neurology | 1 Healthy Pl, Suite 105, Pataskala, OH 43062-7067 | 2006-12-04 |
| Street Address |
4510 PERALTA BLVD SUITE 1 |
| City | FREMONT |
| State | CA |
| Zip Code | 94536-5755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659827608 | Douglas Poechhacker | Counselor | 4510 Peralta Blvd, Suite 1, Fremont, CA 94536-5755 | 2016-08-30 |
| 1417328576 | Hardeep Riar | Counselor | 4510 Peralta Blvd, Suite 1, Fremont, CA 94536-5755 | 2015-10-15 |
| 1932596459 | Kairos Home Care LLC | Home Health | 4510 Peralta Blvd, Suite #7, Fremont, CA 94536-5755 | 2015-04-22 |
| 1265836878 | Emmanuel Healthcare, Inc. | Home Health | 4510 Peralta Blvd, Ste 25, Fremont, CA 94536-5755 | 2014-10-11 |
| 1023417953 | La Vie Hospice & Home Health Inc. | Hospice Care, Community Based | 4510 Peralta Blvd, Suite 24., Fremont, CA 94536-5755 | 2014-08-15 |
| 1326483611 | Scott Arthur Loitz | Counselor | 4510 Peralta Blvd, Suite #1, Fremont, CA 94536-5755 | 2013-05-01 |
| 1497000756 | Janet M Herrmann | Counselor | 4510 Peralta Blvd, Suite 1, Fremont, CA 94536-5755 | 2012-07-23 |
| 1700168515 | Manuel J Garcia | Counselor | 4510 Peralta Blvd, Suite 1, Fremont, CA 94536-5755 | 2011-09-16 |
| 1902188717 | Steven E Wellemeyer | Counselor | 4510 Peralta Blvd, Suite 1, Fremont, CA 94536-5755 | 2011-09-16 |
| 1134401946 | Donte D Thompson | Counselor | 4510 Peralta Blvd, Suite #1, Fremont, CA 94536-5755 | 2011-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342036 | Aria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 37179 Fremont Blvd, Fremont, CA 94536 | 2020-10-06 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| 1972958247 | Priyanka Gwalani | Internal Medicine | 656 Mowry Ave., Fremont, CA 94536 | 2016-04-25 |
| 1700258522 | Mats Hellsten | Marriage & Family Therapist | 38950 Blacow Road, Suite D, Fremont, CA 94536 | 2015-10-21 |
| 1255727293 | Nicholas Andrew Phillips | Family Medicine | 556 Mowry Ave Ste 200, Fremont, CA 94536 | 2015-04-07 |
| 1356735120 | Anthony Chukwunonso Okereke | Pharmacist | 35829 Cabrillo Drive, Fremont, CA 94536 | 2015-03-19 |
| 1992118590 | Aaron Jake Bera | Chiropractor | 35666 Gleason Ln, Fremon, CA 94536 | 2014-06-11 |
| 1467898809 | Vijayalakshmi Natarajan | Health Educator | 4941 Roselle Cmn, Fremont, CA 94536 | 2013-05-13 |
| 1184968919 | Linda Kim | Behavioral Analyst | 3750 Tamayo St Apt 93, Fremont, CA 94536 | 2012-11-16 |
| 1346518487 | Arsen Rhoel Donesa | Dentist | 37149 Fremont Boulevard, Fremont, CA 94536 | 2011-12-04 |
| Find all providers in zip 94536 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1013416320 | Tammy Jo Broshious | Counselor | 512 E State St, Fremont, OH 43420-4259 | 2018-02-02 |
| 1770952475 | Yvette Augustine | Counselor | 4075 Tamayo St, Fremont, CA 94536-4625 | 2015-09-23 |
| 1518363548 | Lindsay Brundege | Counselor | 1420 E Military Ave, Fremont, NE 68025-5300 | 2014-11-19 |
| 1003186818 | Edgar T. Young | Counselor | 4219 Tiburon Dr, Fremont, CA 94555-3261 | 2012-01-10 |
| 1083905988 | Awareness Counseling | Counselor | 2170 N Platte Ave, Fremont, NE 68025-2630 | 2011-04-26 |
| 1932420643 | P & P Fabrication | Counselor | 92 W 5th St, Ste B, Fremont, NE 68025 | 2010-06-16 |
| 1295968717 | Nichole Bonnie Gregory | Counselor | 2170 North Platte Street, Awareness Counseling, Fremont, NE 68025-2630 | 2009-09-01 |
| 1023273521 | Sarah Magdalene Cady | Counselor | 513 N D St, Fremont, NE 68025-5051 | 2008-07-23 |
| 1457532921 | Paul Francisco | Counselor | 41299 Paseo Padre Pkwy, Apt. # 12, Fremont, CA 94539-4551 | 2007-11-26 |
| Find all providers in FREMONT | ||||
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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.