Active NPI
Keesha Jenkins
- Home Health Agency
- Bradenton, FL
National Provider Identifier
1184255267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 236100
- Practice address
- 955 53Rd St E Apt 724
Bradenton, FL 34208-5896 - Phone
- (941) 807-7384
- NPI assigned
- Jan 28, 2020
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 236100 | FL | Primary |
Addresses
Primary practice location
955 53Rd St E Apt 724
Bradenton, FL 34208-5896
Mailing address
955 53Rd St E Apt 724
Bradenton, FL 34208-5896
Phone (941) 807-7384
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 |
|---|---|---|---|
| 236100 | FL | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1184255267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 53RD ST E APT 724",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342085896",
"telephone_number": "941-807-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 53RD ST E APT 724",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342085896",
"telephone_number": "941-807-7384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "KEESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "236100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.