Individual provider Active NPI

Emily T Jenkins, NP

  • Family Nurse Practitioner
  • Cullowhee, NC
National Provider Identifier
1184015091
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007476 Issued in NC
Practice address
3971 Little Savannah Road
Cullowhee, NC 28723
Phone
(828) 631-8800
Fax
(828) 293-0009
NPI assigned
Feb 13, 2015
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5007476 NC Primary

Addresses

Primary practice location

3971 Little Savannah Road
Cullowhee, NC 28723

Mailing address

3971 Little Savannah Road
Cullowhee, NC 28723-0309
Phone (828) 631-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150504000443 NC Practitioner - Nurse Practitioner 4880913474 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC CurrentSince Aug 5, 2018 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Aug 5, 2018 Accepting new patients

Locations

114 Hollowell Rd
Aulander, NC 27805
Phone (252) 345-3791

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1184015091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3971 LITTLE SAVANNAH ROAD",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "287230309",
            "telephone_number": "828-631-8800",
            "fax_number": "828-293-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3971 LITTLE SAVANNAH ROAD",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "28723",
            "telephone_number": "828-631-8800",
            "fax_number": "828-293-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "EMILY",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullowhee, NC

Sources for this page

Verify at the official NPI Registry.