Tara Jenkins

Primary specialty

Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X

License

116082 Issued in KS

Practice address

4101 S 4TH St
Leavenworth, KS 66048-5014

Phone

(913) 682-2000

NPI assigned

Sep 13, 2016

Last updated

Sep 13, 2016By 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

Other names 1

• Tara Moore Former name

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1396293908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 N 123RD ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661093312",
            "telephone_number": "913-909-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485014",
            "telephone_number": "913-682-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "KS",
            "license": "116082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "MOORE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia L Jackson, ARNP
• Michael James, LCP; LPC; MAC; NCC
• Paige Jardine
• Jason H Jenkins, PHARM.D.
• Sarah Jenkins, PH.D., BCBA
• Jennifer a. Kirwan DDS PA Dba the Smile Centre
• Alexandra Jennings, RN
• Daniela Jimenez Paz
• Christine M Johnson, CRNA
• Cindi Kalin Johnson, MD

• Ambulatory Women's Health Care Registered Nurse in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Ambulatory Women's Health Care Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.