Organization Active NPI

Laurie Jenkins

  • Pediatric Skilled Nursing Facility
  • Fort Atkinson, WI
National Provider Identifier
1184040297
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
13443030 Issued in WI
Legal business name
LAURIE JENKINS
Practice address
123 Lucile St
Fort Atkinson, WI 53538-1567
Phone
(920) 568-3855
NPI assigned
Mar 13, 2014
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Ms. Laurie Ann Jenkins
Title
Registered Nurse
Phone
(920) 568-3855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 13443030 WI Primary

Addresses

Primary practice location

123 Lucile St
Fort Atkinson, WI 53538-1567

Mailing address

123 Lucile St.
Fort Atkinson, UNITED STATES 53538
UM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1184040297",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "123 LUCILE ST.",
            "city": "FORT ATKINSON",
            "state": "UNITED STATES",
            "postal_code": "53538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LUCILE ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381567",
            "telephone_number": "920-568-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE JENKINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "920-568-3855",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "WI",
            "license": "13443030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.