La'Wanda Y. Jenkins, DNP, APN, PMHCNS-BC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

353093-01 Issued in TN

Practice address

814 Wren Rd Ste a
Goodlettsville, TN 37072-2312

Phone

(615) 851-3063

Fax

(615) 420-6413

NPI assigned

Dec 1, 2017

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1144734963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 TUCKAHOE DR",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153429",
            "telephone_number": "615-337-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 WREN RD STE A",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722312",
            "telephone_number": "615-851-3063",
            "fax_number": "615-420-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LA'WANDA",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "DNP, APN, PMHCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "TN",
            "license": "353093-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SPECIALIST IN ADULT PSYCHIATRIC AND MENTAL HEALTH NURSING",
            "identifier": "0353093-01",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSE",
            "identifier": "APN0000010506",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Tidwell Janicek, NURSE PRACTITIONER
• Katherine Danielle Janiga, FNP-C
• Jared Baysinger, DMD, PLLC
• Jeffrey W Mathews DDS PLLC
• Brandon N Jenkins, D.C.
• Meghan Tomlinson Jenkins, MSN, FNP
• John Douglas Evans
• John Douglas Evans
• John Friedmann PLLC
• John Martin DDS PC

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.