Active NPI
Robin Marie Wahl Jenkins, RN
- Community Health Registered Nurse
- Broomfield, CO
National Provider Identifier
1124664610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 0195841
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0195841 | CO | MD | Registered Nurse |
| 0195841 | CO | MD | Community 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.