Active NPI
Leah Nichole Jenkins, ACNP-BC
- Acute Care Nurse Practitioner
- Cadiz, KY
National Provider Identifier
1386089910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 3008040
- Practice address
- 252 Main St
Cadiz, KY 42211-9153 - Phone
- (270) 522-2555
- Fax
- (270) 522-2550
- NPI assigned
- May 9, 2013
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 3008040 | KY | Primary |
Addresses
Primary practice location
252 Main St
Cadiz, KY 42211-9153
Mailing address
252 Main St
P.O. Box 312
Cadiz, KY 42211-9153
Phone (270) 522-2555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3008040 | KY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sault Tribe of Chippewa Indians | Current | Accepting new patients | |
| Sault Tribe of Chippewa Indians | Current | Accepting new patients | |
| Sault Tribe of Chippewa Indians | Current | Accepting new patients |
Locations
2864 Ashmun St
Sault South Marie, MI 49783
Phone (906) 632-5200
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Sault Sainte Marie, MI
- NPI 1477721058
-
- Clinical Medical Laboratory
- Sault Sainte Marie, MI
- NPI 1750434395
-
- Optometrist
- Sault Sainte Marie, MI
- NPI 1902074586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1386089910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 MAIN ST",
"address_2": "P.O. BOX 312",
"city": "CADIZ",
"state": "KY",
"postal_code": "422119153",
"telephone_number": "270-522-2555",
"fax_number": "270-522-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 MAIN ST",
"city": "CADIZ",
"state": "KY",
"postal_code": "422119153",
"telephone_number": "270-522-2555",
"fax_number": "270-522-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "LEAH",
"middle_name": "NICHOLE",
"name_prefix": "Ms.",
"credential": "ACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-09",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3008040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cadiz, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.