Individual provider Active NPI

Robin Marie Wahl Jenkins, RN

  • Community Health Registered Nurse
  • Broomfield, CO
National Provider Identifier
1124664610
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
0195841 Issued in CO
Practice address
100 Spader Way
Department of Health & Human Services - RH Clinic
Broomfield, CO 80020-2441
Phone
(720) 887-3102
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.0195841 CO
Pediatric Registered Nurse 163WP0200X 0195841 CO
Community Health Registered Nurse 163WC1500X 0195841 CO Primary

Addresses

Primary practice location

100 Spader Way
Department of Health & Human Services - RH Clinic
Broomfield, CO 80020-2441

Mailing address

100 Spader Way
Department of Health & Human Services - RH Clinic
Broomfield, CO 80020-2441
Phone (720) 887-3102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.0195841COMDRegistered Nurse
0195841COMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1124664610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPADER WAY",
            "address_2": "DEPARTMENT OF HEALTH & HUMAN SERVICES - RH CLINIC",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202441",
            "telephone_number": "720-887-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPADER WAY",
            "address_2": "DEPARTMENT OF HEALTH & HUMAN SERVICES - RH CLINIC",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202441",
            "telephone_number": "720-887-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ROBIN",
        "middle_name": "MARIE WAHL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0195841",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CO",
            "license": "0195841",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CO",
            "license": "0195841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.