Active NPI
Melissa Jill Jenkins, CSFA
- Surgical Assistant
- Bartlett, TN
National Provider Identifier
1013573641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 176810
- Practice address
- 2996 Kate Bond Rd
Bartlett, TN 38133-4030 - Phone
- (901) 820-7000
- NPI assigned
- May 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 176810 | TN | Primary |
Addresses
Primary practice location
2996 Kate Bond Rd
Bartlett, TN 38133-4030
Mailing address
800 Hwy 30 E
New Albany, MS 38652-6009
Phone (662) 401-9604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176810 | TN | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1013573641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 HWY 30 E",
"city": "NEW ALBANY",
"state": "MS",
"postal_code": "386526009",
"telephone_number": "662-401-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2996 KATE BOND RD",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381334030",
"telephone_number": "901-820-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "MELISSA",
"middle_name": "JILL",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-20",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TN",
"license": "176810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.