Therese Jenkins, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-134 Issued in AR

Practice address

8101 McClure Dr Ste 101
Fort Smith, AR 72916-6044

Phone

(479) 484-7100

Fax

(479) 478-7255

NPI assigned

Nov 14, 2013

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

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 and National Provider Directory roles.

• Norma Smith MD PA

  • Medical Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1083916894
  NPD

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1386074102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11708",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171708",
            "telephone_number": "479-484-7100",
            "fax_number": "479-478-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 MCCLURE DR STE 101",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166044",
            "telephone_number": "479-484-7100",
            "fax_number": "479-478-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "THERESE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Danielle Jeffress, LMT
• Jeffrey K Evans MD
• Jenkada, LLC
• Caleb Anthony Jenkins
• Dena Marie Jenkins, M.S., CCC-SLP
• Carla Jennings
• Charles A Jennings, MD
• Holly H Jennings, MD
• Jon Jennings
• Jonathan Scott Jennings, OTA

• Medical Physician Assistant in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Medical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.