Dawn Jenkins-Moree, R

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

287089

Practice address

1699 S 14TH St
Suite 16
Fernandina Beach, FL 32034-1963

Phone

(904) 491-7700

Fax

(904) 491-7701

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dawn Jenkins Former name

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366477978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TUPELO CIR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315254560",
            "telephone_number": "912-267-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 S 14TH ST",
            "address_2": "SUITE 16",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341963",
            "telephone_number": "904-491-7700",
            "fax_number": "904-491-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS-MOREE",
        "first_name": "DAWN",
        "credential": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": "287089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "JENKINS",
            "credential": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tonya Claudette Igle, CNA
• Integrated Care Support SVCS NC
• Jacksonville Orthopaedic Institute Inc
• Jacksonville Orthopaedic Institute Inc
• Jacksonville Spine Center PA
• Deborah O Jennings, FNP
• Mary Jenssen, LCSW
• Jesse S. Greenblum, MD, PA
• Dana Lyn John-Goodrich, MPH, RD
• Shane M Johns, D.ED.MIN., LMFT

• Radiologic Technologist in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.