Jakyra Bentley, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN095682 Issued in GA

Practice address

207 Autumn Woods Dr
Warner Robins, GA 31088-6716

Phone

(404) 454-1901

NPI assigned

Aug 11, 2021

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

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1003581109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 AUTUMN WOODS DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 AUTUMN WOODS DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886716",
            "telephone_number": "404-454-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "JAKYRA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN095682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dexter Bembry
• Amy Benjamin, LCSW
• Jessica Maebelle Bennett, LPC
• Lasasha Sherese Bennett, RN, BSN
• Whitney Bennett
• Melissa Bentley, P.T.
• Cassandra Benton
• Benzer Pharmacy
• Kimberly Bergee
• Carla Marie Berger, RN

• Licensed Practical Nurse in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.