Ivy Leverett Jenkins, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APN12405 Issued in TN

Practice address

110 29TH Ave N
Suite 301
Nashville, TN 37203-1401

Phone

(615) 327-4304

Fax

(615) 327-5435

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Ivy D Leverett Former name

Medicare fee-for-service enrollment

Enrolled in TN, MT2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Johns Lutheran Hospital IncGroup PAC ID 1557255676, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cabinet Peaks Medical Center Hospital, Libby, MT, CCN 271320

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• St. John'S Lutheran Hospital, Inc.

  • Critical Access Hospital
  • Libby, MT
  • NPI 1952312050
  Medicare reassignment Care Compare group NPD
• Providence St Joseph Medical Center

  • Family Medicine Physician
  • Polson, MT
  • NPI 1669655528
  Medicare reassignment NPD
• Anesthesia Medical Group, PC

  • Anesthesiology Physician
  • Nashville, TN
  • NPI 1215932413
  Medicare reassignment
• Credena Health LLC

  • Community/Retail Pharmacy
  • Polson, MT
  • NPI 1164809778
  NPD
• Louisville Endoscopy Center, PLLC

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
  • NPI 1003888595
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. John'S Lutheran Hospital, Inc.

  • Critical Access Hospital
  • Libby, MT
  • NPI 1952312050
  Care Compare affiliation

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1104043082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N",
            "address_2": "SUITE 301",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031401",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N",
            "address_2": "SUITE 301",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031401",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "IVY",
        "middle_name": "LEVERETT",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN12405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN118124",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0024168102",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024168102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVY",
            "last_name": "LEVERETT",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssia Jenkins
• Amy Jenkins, MD
• Caroline Portis Jenkins, MSN, FNP-BC
• Courtney Jenkins, MMFT
• Grace Noel Jenkins, RPH, PHARMD, BCPS
• Kenneth Jenkins, PT
• Lois Jenkins
• Mack Adam Jenkins, M.D.
• Makeya Jenkins, DDS
• Marissa Russo Jenkins, FNP

• Certified Registered Nurse Anesthetist in Nashville, TN
• Providers in Nashville, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.