Cicely W Jenkins, R.N.,B.C.

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

20552 Issued in SC

Practice address

Thomson Student Health Ctr
University of South Carolina
Columbia, SC 29208-0001

Phone

(803) 777-3669

Fax

(803) 777-0126

NPI assigned

Aug 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Thomson Student Health Center

  • Clinic/Center
  • Columbia, SC
  • NPI 1326167537
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376555979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 CEDARIDGE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292064301",
            "telephone_number": "803-787-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THOMSON STUDENT HEALTH CTR",
            "address_2": "UNIVERSITY OF SOUTH CAROLINA",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292080001",
            "telephone_number": "803-777-3669",
            "fax_number": "803-777-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CICELY",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "R.N.,B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "SC",
            "license": "20552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Sara Lee Jenkins
• Candace J Jenkins, LPC
• Cherron Jenkins, DC, BSN, RN
• Christine Jenkins
• Chrystal De'Nay Jenkins Jenkins, LPN
• Consuela T. Jenkins, COTA
• Daryl Erika Jenkins
• Dianne Jenkins
• George Alexander Jenkins III, M.D.
• Jamie Shani Shantey Shani Jenkins, CNA

• Administrator Registered Nurse in Columbia, SC
• Providers in Columbia, SC by specialty
• Administrator Registered Nurse in South Carolina

• 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.