Beverly Ann Jennings

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

12628 Hooper Rd Ste C
Baton Rouge, LA 70818-3527

Phone

(225) 953-8170

NPI assigned

Oct 28, 2021

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

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.

• New Horizons Behavior Health Center

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
  • NPI 1881138899
  NPD (past)

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1003570797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12628 HOOPER RD STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183527",
            "telephone_number": "122-595-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12628 HOOPER RD STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183527",
            "telephone_number": "225-953-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "BEVERLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantel T Jenkins, RN
• Shantreuna Jenkins
• Tatia Lxchelle Jenkins
• Tyra Jenkins
• Jenna M. Bourgeois, MD, LLC
• Silas T Jennings, DC
• Spencer Jennings
• Jeremy Brandt Jenny, PHYSICIAN ASSISTANT
• Susanne Maria Jensen, PHD
• Rachel Elaine Jeoffroy, RD

• Case Manager/Care Coordinator in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.