Organization Active NPI

Jenkada, LLC

  • Speech-Language Pathologist
  • Fort Smith, AR
National Provider Identifier
1083944425
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#1195 Issued in AR
Legal business name
JENKADA, LLC
Practice address
3300 Briar Cliff Ave
Fort Smith, AR 72908-8309
Phone
(479) 424-1949
Fax
(479) 424-1946
NPI assigned
Jan 7, 2010
Last updated
Jan 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Dena Jenkins, M.S., CCC-SLPNPI 1972775187
Title
Speech-Language Pathologist
Phone
(479) 650-3144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP#1195 AR Primary

Addresses

Primary practice location

3300 Briar Cliff Ave
Fort Smith, AR 72908-8309

Mailing address

8113 Valley Forge Rd
Fort Smith, AR 72903-5124
Phone (479) 650-3144

Other identifiers 2

IdentifierTypeStateIssuer
128836721MedicaidAR
5R028OtherARARKANSAS BCBS

National Provider Directory

National Provider Directory

Locations

3300 Briar Cliff Ave
Fort Smith, AR 72908
Phone (479) 424-1949

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1083944425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8113 VALLEY FORGE RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035124",
            "telephone_number": "479-650-3144",
            "fax_number": "479-424-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BRIAR CLIFF AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088309",
            "telephone_number": "479-424-1949",
            "fax_number": "479-424-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "479-650-3144",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#1195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128836721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS",
            "identifier": "5R028",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.