Jasmine Camille Bankhead, ED.D., R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041553198 Issued in IL

Practice address

5113 S Harper Ave Ste 2C
Chicago, IL 60615-4119

Phone

(833) 717-4244

NPI assigned

Jan 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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

• Icg Services, LLC

  dba Spectrum of Smiles

  • Adolescent and Children Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1659090827

  Behavior Technician

  NPD Authorized official
• Aaa Hoosier Home HC Spec. Inc.

  • Home Health Agency
  • Highland, IN
  • NPI 1528156874
  NPD Authorized official
• Icg Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Highland, IN
  • NPI 1609729854
  NPD Authorized official
• Intrinsic Integrated Living

  dba Intrinsic Living

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1952241580
  NPD (past) Authorized official

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1215798038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 S RHODES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606195024",
            "telephone_number": "773-606-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 S HARPER AVE STE 2C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154119",
            "telephone_number": "833-717-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2646 Highway Ave",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463221661",
            "country_code": "US",
            "telephone_number": "833-717-4244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKHEAD",
        "first_name": "JASMINE",
        "middle_name": "CAMILLE",
        "credential": "ED.D., R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28285538A",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041553198",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041553198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kushal Bikram Baniya, MD
• Sunil Baniya, MD
• Gregory Banizs
• Allison Bank, OTR/L
• Judith Meryl Bank, PHD
• Agnieszka Bankowska-Brukasz, M.D.
• Banks Dental Group Inc
• Debra Banks-Lowe, DT
• Bernice O Banks, L.C.S.W.
• Cherese Banks, DO

• Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.