Stefani Dawn Jenkins

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3163 Converse Ave
Spring Hill, FL 34608-4110

Phone

(352) 346-6611

Fax

(352) 835-4333

NPI assigned

Apr 14, 2008

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1386818052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3163 CONVERSE AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346084110",
            "telephone_number": "352-346-6611",
            "fax_number": "352-835-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3163 CONVERSE AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346084110",
            "telephone_number": "352-346-6611",
            "fax_number": "352-835-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "STEFANI",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Oswald Jansen Van Rensburg, MD
• Yatrid Evelyn Jara Coello, APRN,FNP-C
• Lili Belle Hipolito Javier, PT
• Adeel Jawaid, NP
• Kalia Jeffries, BT
• David R Jensen, DDS
• Eric Jensen, DMD
• Lesly Jerome
• Jerry Solutions LLC
• Amy Jividen

• Community Health Worker in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.