Active NPI
Alecia Renee Jenkins, LPN
- Licensed Practical Nurse
- Cleveland, OH
National Provider Identifier
1174030423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN091051
- Practice address
- 1710 Prospect Ave E
Cleveland, OH 44115-2322 - Phone
- (216) 781-3773
- Fax
- (216) 781-2023
- NPI assigned
- Jan 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN091051 | OH | Primary |
Addresses
Primary practice location
1710 Prospect Ave E
Cleveland, OH 44115-2322
Mailing address
5280 William St
Maple Heights, OH 44137-1071
Phone (216) 258-9394
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN091051 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Salvation Army | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515456000000",
"number": "1174030423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5280 WILLIAM ST",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441371071",
"telephone_number": "216-258-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 PROSPECT AVE E",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152322",
"telephone_number": "216-781-3773",
"fax_number": "216-781-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "ALECIA",
"middle_name": "RENEE",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-09",
"last_updated": "2018-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN091051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.