Individual provider Active NPI

Jostlin Denisha Jenkins-Key, FAMIY NP

  • Family Nurse Practitioner
  • Pleasanton, CA
National Provider Identifier
1235793506
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03190808 Issued in CA
Practice address
5606 Owens Dr Apt 106
Pleasanton, CA 94588-4677
Phone
(404) 955-9634
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03190808 CA Primary

Addresses

Primary practice location

5606 Owens Dr Apt 106
Pleasanton, CA 94588-4677

Mailing address

5606 Owens Dr Apt 106
Pleasanton, CA 94588-4677
Phone (404) 955-9634

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F03190808CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1235793506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 OWENS DR APT 106",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884677",
            "telephone_number": "404-955-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 OWENS DR APT 106",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884677",
            "telephone_number": "404-955-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS-KEY",
        "first_name": "JOSTLIN",
        "middle_name": "DENISHA",
        "credential": "FAMIY NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F03190808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.