Laura Regina Jenkins

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

67592 Issued in ME

Practice address

4340 Decatur Dr Apt 5305
College Station, TX 77845-9723

Phone

(706) 414-6709

NPI assigned

Dec 21, 2018

Last updated

Dec 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1215409750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 DECATUR DR APT 5305",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778459723",
            "telephone_number": "706-414-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 DECATUR DR APT 5305",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778459723",
            "telephone_number": "706-414-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LAURA",
        "middle_name": "REGINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "67592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay M Erickson DDS PLLC (Erickson Dental)
• Elliott Abbott Jaye
• Ayesha Jeelani, DDS
• Haley Allison Jeffrey, PA
• Adam Connell Jenkins, M.D.
• Lydia Jenkins
• Quimbrea Jenkins
• Robert Douglas Jenkins, MD
• Tammie D. Jenkins, MD
• Jason David Jennings, PT

• Registered Nurse in College Station, TX
• Providers in College Station, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.