Individual provider Active NPI

Claire E. Jenkins, CRNA

  • Certified Registered Nurse Anesthetist
  • Gainesville, VA
National Provider Identifier
1265478580
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024166767 Issued in VA
Practice address
7915 Lake Manassas Dr
Suite 302
Gainesville, VA 20155-3258
Phone
(571) 248-0653
Fax
(571) 248-0658
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NR09930200 NJ
Certified Registered Nurse Anesthetist 367500000X 0024166767 VA Primary

Addresses

Primary practice location

7915 Lake Manassas Dr
Suite 302
Gainesville, VA 20155-3258

Mailing address

7915 Lake Manassas Dr
Suite 302
Gainesville, VA 20155-3258
Phone (571) 248-0653

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024166767VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Burlington Anesthesia Associates, PA Past Accepting new patients
Midwest Anesthesia Inc. Past Accepting new patients
Home Physicians Baltimore, PC Past Accepting new patients
Outpatient Anesthesia Services of Reston, LTD Past Accepting new patients
Reston Anesthesia Associates, PC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1265478580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 LAKE MANASSAS DR",
            "address_2": "SUITE 302",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553258",
            "telephone_number": "571-248-0653",
            "fax_number": "571-248-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 LAKE MANASSAS DR",
            "address_2": "SUITE 302",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553258",
            "telephone_number": "571-248-0653",
            "fax_number": "571-248-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CLAIRE",
        "middle_name": "E.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NR09930200",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024166767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.