Stephanie Jenkins, R.N.

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN107071 Issued in AZ

Practice address

14202 W Mauna Loa LN
Surprise, AZ 85379-8669

Phone

(623) 238-2288

NPI assigned

Dec 26, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apollo Residential Assisted Living, LLC

  • Assisted Living Facility
  • Glendale, AZ
  • NPI 1962874354
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1003237694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14202 W MAUNA LOA LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798669",
            "telephone_number": "623-238-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14202 W MAUNA LOA LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798669",
            "telephone_number": "623-238-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "STEPHANIE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "AZ",
            "license": "RN107071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roel Conrad Jamis
• Janelle Hultman
• Janelle Janssen
• Jocelyn Jasper, OWNER
• Parita Javia
• Gretchen Jennings, ED.S
• Michelle Nicola Jennings
• Jenny V. Wang DDS II, LLC
• Aaron J. Jensen, PA-C
• Danielle Jensen

• Administrator Registered Nurse in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Administrator Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.