KENDALL JENKINS (NPI# 1982105789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982105789 |
| Entity Type | Individual |
| Full Name | KENDALL JENKINS |
| Practice Address |
4062 Summerhill Sq Texarkana TX 75503-2730 |
| Mailing Address |
3636 Stone Ledge Dr Apt 1322 Texarkana TX 75503 |
| Practice Telephone | 9039083839 |
| Mailing Telephone | 8323346569 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
40518 | TX | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | SLP- ASSITANT | 40158 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487618872 | Kendall Jenkins | Pediatrics | 170 William St, New York, NY 10038 | 2006-04-13 |
| Street Address |
4062 SUMMERHILL SQ |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568992352 | Icare Pediatric & Adult Therapy LLC | Clinic/Center | 4062 Summerhill Sq, Texarkana, TX 75503-2730 | 2017-06-14 |
| 1134620917 | Shonda Sharee Henley | Occupational Therapy Assistant | 4062 Summerhill Sq, Texarkana, TX 75503-2730 | 2018-02-26 |
| 1558862565 | Carly Hope Rogers | Occupational Therapy Assistant | 4062 Summerhill Sq, Texarkana, TX 75503-2730 | 2018-02-24 |
| 1518473750 | Laura E Frachiseur | Occupational Therapy Assistant | 4062 Summerhill Sq, Texarkana, TX 75503-2730 | 2017-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871982777 | Maurie Vaughn | Specialist/Technologist | 5814 Cathedral Hts, Texarkana, AR 71854-9431 | 2015-01-15 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1306218508 | Lacy Williams | Specialist/Technologist | 3410 Magnolia St, Texarkana, TX 75503-3729 | 2015-10-27 |
| 1144691031 | Kelsey Pearson | Specialist/Technologist | 3410 Magnolia St, Texarkana, TX 75503-3729 | 2015-10-17 |
| 1033589528 | Louisa Mchenry | Specialist/Technologist | 1315 Walnut St, Texarkana, TX 75501-4446 | 2015-09-28 |
| 1932508504 | Susan Morgan Nash | Specialist/Technologist | 1315 Walnut St, Texarkana, TX 75501-4446 | 2014-08-19 |
| 1740602408 | Erin Duke | Specialist/Technologist | 3410 Magnolia St, Texarkana, TX 75503-3729 | 2014-01-15 |
| 1659713980 | Jordan Elizabeth Nutt | Specialist/Technologist | 1315 Walnut St, Texarkana, TX 75501-4446 | 2013-07-29 |
| 1831440486 | Jill Allen | Specialist/Technologist | 3410 Magnolia St, Texarkana, TX 75503-3729 | 2012-09-23 |
| 1265719017 | Karlee Smith | Specialist/Technologist | 3435 Jefferson Ave, Texarkana, AR 71854-2747 | 2011-11-08 |
| Find all providers in TEXARKANA | ||||
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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.