David L Jenkins, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA864 Issued in WY

Practice address

1211 S Douglas Hwy Ste 100
Gillette, WY 82716-4982

Phone

(307) 685-3375

NPI assigned

Jan 10, 2007

Last updated

Dec 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hand Therapy of Wyoming LLC

  • Occupational Therapist
  • Gillette, WY
  • NPI 1083155972
  Medicare reassignment NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1346399185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S DOUGLAS HWY STE 100",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164982",
            "telephone_number": "307-685-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S DOUGLAS HWY STE 100",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164982",
            "telephone_number": "307-685-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J Naramore (Family Health)
• James J Naramore (Medical Arts Laboratory)
• James J Naramore, MD, PC (Family Health)
• Jessica Sue Jaycox
• Tierney Jeffers, LMT
• Jennifer J. Thomas MDPC
• Kasidy Kane Jensen, PT, DPT
• Trey Jodozi
• Jackie Johner
• Brandy Michelle Johnson, DPT

• Physician Assistant in Gillette, WY
• Providers in Gillette, WY by specialty
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.