Individual provider Active NPI

Kimberly Renee Jenkins, CERTIFIED HAIR LOSS

  • Prosthetics Case Management
  • Cincinnati, OH
National Provider Identifier
1043730534
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Practice address
11741 Hanover Rd
Cincinnati, OH 45240-1915
Phone
(513) 746-7789
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X OH Primary

Addresses

Primary practice location

11741 Hanover Rd
Cincinnati, OH 45240-1915

Mailing address

11741 Hanover Rd
Cincinnati, OH 45240-1915
Phone (513) 746-7798

Other practice location 1

8620 Winton Rd
Cincinnati, OH 45231-4819
Phone (513) 746-7798

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043730534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11741 HANOVER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452401915",
            "telephone_number": "513-746-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11741 HANOVER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452401915",
            "telephone_number": "513-746-7789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8620 Winton Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452314819",
            "country_code": "US",
            "telephone_number": "513-746-7798",
            "fax_number": "513-746-7798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "credential": "CERTIFIED HAIR LOSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.