Grant Jenkins, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

835371 Issued in NV

Practice address

56 N Pecos Rd
Henderson, NV 89074-7331

Phone

(702) 877-5199

NPI assigned

Jul 27, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Khakwani Medical Corporation PCGroup PAC ID 7214207141, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gjenkins214778@pdshealth.direct-ci.com

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.

• Khakwani Medical Corporation, PC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1801304043
  Medicare reassignment Care Compare group NPD
• Optum Medical Group II Rhodes P C

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1790329407
  Medicare reassignment NPD
• Khakwani Medical Corporation, PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1134847965
  NPD
• Khakwani Medical Corporation, PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1548121668
  NPD
• Optum Medical Group Rhodes P C

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1770556037
  NPD
• Khakwani Medical Corporation, PC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1073341079
  NPD (past)
• Khakwani Medical Corporation, PC

  • Family Medicine Physician
  • North Las Vegas, NV
  • NPI 1366284143
  NPD (past)
• Khakwani Medical Corporation, PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1396190716
  NPD (past)
• Khakwani Medical Corporation, PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1407517436
  NPD (past)
• Khakwani Medical Corporation, PC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1700468204
  NPD (past)

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1487107355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-877-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747331",
            "telephone_number": "702-877-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "GRANT",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "RN670925",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "835371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Jeffries, DDS
• Dane Jefic, M.D.
• Dijana Jefic, MD
• Lakisha Jenkins-Hawthorne
• Draper Jenkins Sr.
• Mary Cynthia L Jenkins
• Jessica Jenks-Smith
• Jennifer C Moore MSW LCSW Inc
• Jennifer C Moore MSW LCSW Inc
• Jennifer Vobis PLLC

• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.