Active NPI
Anne Jenkins
- Low-Risk Neonatal Registered Nurse
- O Fallon, IL
National Provider Identifier
1346097359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low-Risk Neonatal Registered Nurse
- License
- 041547234
- Practice address
- 1109 Naturescape CT
O Fallon, IL 62269-6971 - Phone
- (952) 270-5364
- NPI assigned
- May 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low-Risk Neonatal Registered Nurse | 163WN0003X | 041547234 | IL | Primary |
Addresses
Primary practice location
1109 Naturescape CT
O Fallon, IL 62269-6971
Mailing address
1109 Naturescape CT
O Fallon, IL 62269-6971
Phone (952) 270-5364
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041547234 | IL | MD | Low-Risk Neonatal Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1346097359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 NATURESCAPE CT",
"city": "O FALLON",
"state": "IL",
"postal_code": "622696971",
"telephone_number": "952-270-5364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 NATURESCAPE CT",
"city": "O FALLON",
"state": "IL",
"postal_code": "622696971",
"telephone_number": "952-270-5364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal, Low-Risk",
"state": "IL",
"license": "041547234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.