Active NPI
Glenna K Jenkins, LPN
- Licensed Practical Nurse
- Lima, OH
National Provider Identifier
1205341641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN.098854.MEDS
- Practice address
- 1505 N Cole St
Lima, OH 45801-2432 - Phone
- (513) 834-7063
- NPI assigned
- Dec 7, 2017
- Sex
- Female
- Sole proprietor
- No
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 | LPN.098854.MEDS | OH | Primary |
Addresses
Primary practice location
1505 N Cole St
Lima, OH 45801-2432
Mailing address
615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (513) 834-7063
Other practice location 1
511 Perry St
Defiance, OH 43512-2123
Phone (419) 782-9920 ext. 142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098854.MEDS | Other | OH | LICENSE |
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 |
|---|---|---|---|
| LPN.098854.MEDS | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1205341641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021457",
"telephone_number": "513-834-7063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 N COLE ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458012432",
"telephone_number": "513-834-7063"
}
],
"practiceLocations": [
{
"address_1": "511 Perry St",
"address_purpose": "LOCATION",
"city": "Defiance",
"state": "OH",
"postal_code": "435122123",
"country_code": "US",
"telephone_number": "419-782-9920 x142",
"fax_number": "419-784-2523",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "GLENNA",
"middle_name": "K",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-07",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.098854.MEDS",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "098854.MEDS",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.