Individual provider Active NPI

Virginia Jenkins

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1073344362
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36802 Issued in TN
Practice address
6401 Poplar Ave Ste 298
Memphis, TN 38119-4846
Phone
(901) 207-6201
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 36802 TN Primary

Addresses

Primary practice location

6401 Poplar Ave Ste 298
Memphis, TN 38119-4846

Mailing address

6401 Poplar Ave Ste 298
Memphis, TN 38119-4846
Phone (901) 207-6201

Other practice location 1

3444 Plaza Ave
Memphis, TN 38111-4614
Phone (901) 730-4202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106002261 TN Practitioner - Nurse Practitioner 1557895067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians

Practice addresses (Care Compare)

3444 Plaza Ave
Memphis, TN 38111-4614
Phone (901) 730-4204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36802TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Tennessee LLC Single Specialty CurrentSince Sep 24, 2024 Accepting new patients

Locations

3444 Plaza Ave
Memphis, TN 38111
Phone (901) 324-1013

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: virginia.jenkins@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1073344362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE STE 298",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194846",
            "telephone_number": "901-207-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE STE 298",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194846",
            "telephone_number": "901-207-6201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3444 Plaza Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381114614",
            "country_code": "US",
            "telephone_number": "901-730-4202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "VIRGINIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.