Rebecca Sue Jenkins, CNA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

50085884 Issued in KY

Practice address

3523 Whippoorwill Rd
Louisville, KY 40213

Phone

(502) 938-3683

NPI assigned

Dec 5, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rebecca S Stayton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1124426275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 WHIPPOORWILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40213",
            "telephone_number": "502-938-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 WHIPPOORWILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40213",
            "telephone_number": "502-938-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "KY",
            "license": "50085884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNA CERTIFICATION NUMBER",
            "identifier": "50085884",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "STAYTON",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Josephine Therese Jenkins, PTA
• Karen S Jenkins, ARNP
• Kelly Anne Jenkins, MD
• Leslie Jenkins, PHD
• Melissa Dawn Jenkins, PTA
• Sherri Jenkins, MA
• Summer Hope Jenkins
• Thomas Moore Jenkins, M.D.
• Natalie Rose Jennette, DNP, APRN, FNP-C
• Robert K Jennette, LMT

• Home Health Aide in Louisville, KY
• Providers in Louisville, KY by specialty
• Home Health Aide in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.