Kathleen Theresa Jenkins, MD

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

ME0043904 Issued in FL

Practice address

4319 20TH St W
Suite 101
Bradenton, FL 34205-5000

Phone

(941) 753-7585

Fax

(941) 758-2153

NPI assigned

Sep 25, 2006

Last updated

Aug 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sarasota Physical Medicine Inc

  dba Haley Lamourt Chiropractic

  • Internist Chiropractor
  • Sarasota, FL
  • NPI 1225073315
  NPD (past)
• U.S. Healthworks Medical Group of Florida, Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Valencia, CA
  • NPI 1447230925
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1083714349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637801",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637801",
            "telephone_number": "941-753-7585",
            "fax_number": "941-758-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 20TH ST W",
            "address_2": "SUITE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055000",
            "telephone_number": "941-753-7585",
            "fax_number": "941-758-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KATHLEEN",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "FL",
            "license": "ME0043904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680451-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Jean
• Cassandra L Jeandell
• Jeffrey Martins, DDS, PLLC (Paradise Dental)
• Jeffrey S. Beard, M.D.,P.a.
• Christopher Todd Jenkins, PHARMD
• Keesha Jenkins
• Sarah Jenkins, APRN
• Tacoma Y Jenkins
• William Wesley Jenkins
• Jessica Jennelle

• Preventive Medicine/Occupational Environmental Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.