Katherine Burts Jennell, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

0402003276 Issued in VA

Practice address

719 N 25TH St
Richmond, VA 23223-6539

Phone

(804) 780-0840

Fax

(804) 329-1206

NPI assigned

Mar 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Renee Burts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1003510793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 NORTH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232223647",
            "telephone_number": "804-944-4504",
            "fax_number": "804-329-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N 25TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236539",
            "telephone_number": "804-780-0840",
            "fax_number": "804-329-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNELL",
        "first_name": "KATHERINE",
        "middle_name": "BURTS",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402003276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BURTS",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lashanda Jenkins
• Sandra Jenkins, LCSW
• Thomas Lee Jenkins, MD
• Tiffany Dawn Jenkins, MA
• William Michael Benusa Jenkins, DPT
• Jamie D Jennette, AGACNP-BC
• Amber Jennings
• C Foster Jennings Jr., M.D.
• Cameron Leigh Jennings, FNP-BC, PHCNS-BC
• Cara A. Jennings, MD

• Dental Hygienist in Richmond, VA
• Providers in Richmond, VA by specialty
• Dental Hygienist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.