Active NPI
Jenifer Elaine Jennings, DPT
- Physical Therapist
- Kaneohe, HI
National Provider Identifier
1518201995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3847
- Practice address
- 45-691 Keaahala Rd # C30
Kaneohe, HI 96744-3569 - Phone
- (808) 233-5495
- NPI assigned
- Nov 26, 2012
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3847 | HI | Primary |
Addresses
Primary practice location
45-691 Keaahala Rd # C30
Kaneohe, HI 96744-3569
Mailing address
212 13TH St
#1
Huntington Beach, CA 92648-4848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3847 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1518201995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 13TH ST",
"address_2": "#1",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926484848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-691 KEAAHALA RD # C30",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443569",
"telephone_number": "808-233-5495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "JENIFER",
"middle_name": "ELAINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-26",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "3847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.