Danielle R Jenkins, CNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Greenbrier, AR
NPI 1104401025 · NPPES record last updated Dec 8, 2021
Key facts
- NPI
- 1104401025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 214713 (AR)
- Practice address
- 8 S Broadview St
Greenbrier, AR 72058-9601 - Phone
- (501) 506-1587
- NPI assigned
- Mar 11, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Coco Psychiatric Services PLLC
Heal Within Counseling and Consulting Inc
Practice addresses (Care Compare)
10816 Executive Ctr Dr
Suite 104
Little Rock, AR 72211-4381
Phone (501) 506-1587
15 Trina Loop
Greenbrier, AR 72058-9062
220 S Broadview St
Greenbrier, AR 72058-9616
Phone (501) 679-0232
351 Hwy 25 N
Greenbrier, AR 72058-9450
PO Box
Suite 414
Greenbrier, AR 72058
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210601000512 | AR | Practitioner - Nurse Practitioner | 4183023880 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214713 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Mental Health and Wellness LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Coco Psychiatric Services PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Renew Mental Health and Wellness, LLC | Current |
Accepting new patients | |
| Heal Within Counseling and Consulting Inc | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
3025 Fountain Dr
Ste 200
Conway, AR 72034
Phone (501) 327-0110
575 Harkrider St
#A
Conway, AR 72032
Phone (501) 679-0232
8 S Broadview St
Ste E
Greenbrier, AR 72058
Phone (501) 679-0232
220 S Broadview St
Greenbrier, AR 72058
Phone (501) 679-0232
1150 E Matthews Ave
Ste 101A
Jonesboro, AR 72401
Phone (870) 243-0424
10816 Executive Center Dr
Ste 104
Little Rock, AR 72211
Phone (501) 506-1587
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 214713 | AR | Yes |
Addresses
Primary practice location
8 S Broadview St
Greenbrier, AR 72058-9601
Mailing address
PO Box 414
Greenbrier, AR 72058-0414
Phone (501) 506-1587
Other practice location 1
3001 W Roosevelt Rd
Little Rock, AR 72204-5658
Phone (501) 340-6646
Other providers in Greenbrier, AR
- Cassandra Lee Ingram
- Byron Jackson
- Jcas Inc
- Jcas, Inc.
- Tracy Jeane
- Jarrod Jerry
- Anna Johnson
- Kimberly Dawn Johnson
- Shauna Johnson
- Kala Jones
All providers in Greenbrier, AR · Psychiatric/Mental Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.