Active NPI
Keri Ann Jenkins
- Social Worker
- Glenpool, OK
National Provider Identifier
1033679576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 12302 S Yukon Ave Apt 1038
Glenpool, OK 74033-6625 - Phone
- (918) 859-8068
- NPI assigned
- Mar 21, 2019
- Last updated
- Feb 27, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
12302 S Yukon Ave Apt 1038
Glenpool, OK 74033-6625
Mailing address
12302 S Yukon Ave Apt 1038
Glenpool, OK 74033-6625
Phone (918) 859-8068
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1033679576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12302 S YUKON AVE APT 1038",
"city": "GLENPOOL",
"state": "OK",
"postal_code": "740336625",
"telephone_number": "918-859-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12302 S YUKON AVE APT 1038",
"city": "GLENPOOL",
"state": "OK",
"postal_code": "740336625",
"telephone_number": "918-859-8068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "KERI",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-21",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenpool, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.