Jenalen F Parke

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

207 Adams St
Gillespie, IL 62033-1421

Phone

(217) 313-5621

NPI assigned

Feb 23, 2023

Last updated

Feb 23, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1235838772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ADAMS ST",
            "city": "GILLESPIE",
            "state": "IL",
            "postal_code": "620331421",
            "telephone_number": "217-313-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ADAMS ST",
            "city": "GILLESPIE",
            "state": "IL",
            "postal_code": "620331421",
            "telephone_number": "217-313-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKE",
        "first_name": "JENALEN",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "P620-4267-7881",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason K Manthei, PA
• Neuropathy Center of Gillespie
• Roy Northcutt, DMD
• Jamie J Ott, FNP-C
• Alexis Grace Page
• Laura Michelle Peterson
• Chris Philip Poirot, M.D.
• Kristy Lynn Pollo
• Therese L Polo, MD
• Propharm RX Inc

• Nurse's Aide in Gillespie, IL
• Providers in Gillespie, IL by specialty
• Nurse's Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.