Ruth Antionette Jenkins, RNNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

314790 Issued in CA

Practice address

370 Distel Cir
Los Altos, CA 94022-1404

Phone

(650) 254-5200

NPI assigned

Oct 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Central Valley Integrated Healthcare

  • Medical Specialty Clinic/Center
  • Merced, CA
  • NPI 1598213522
  NPD (past) Authorized official
• Promedica Central Physicians

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1043270150

  Nurse Practitioner

  NPD (past)
• Promedica Central Physicians

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
  • NPI 1669068482
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124019203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W EL CAMINO REAL FL 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940406203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221404",
            "telephone_number": "650-254-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 E Yosemite Ave",
            "address_2": "STE B # 146",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953408039",
            "country_code": "US",
            "telephone_number": "209-580-6549",
            "fax_number": "209-580-4962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 E Yosemite Ave",
            "address_2": "STE B # 146",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953408039",
            "country_code": "US",
            "telephone_number": "209-580-6549",
            "fax_number": "209-580-4962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "RUTH",
        "middle_name": "ANTIONETTE",
        "credential": "RNNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "314790",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "314790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2231098",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine H. Le D.D.S., Inc.
• JBRP Lifestyles LLC
• Jeanette Krogstad Physical Therapy
• Jeffrey a. Diamond DDS, Inc.
• Jeffrey a. Diamond DDS, Inc.
• Jenna Arruda, M.D., a Professional Corporation
• Jennifer Zumarraga MD a Professional Medical Corporation
• Jesuit Institute for Family Life
• Surbhi Jindal, DDS
• John N. Parker, M.D., Inc

• Nurse Practitioner in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.