Lakeysha R Jenkins, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024171647 Issued in VA

Practice address

610 Thimble Shoals Blvd Ste 203a
Newport News, VA 23606-4512

Phone

(757) 775-8837

Fax

(949) 561-4700

NPI assigned

Jun 25, 2014

Last updated

Apr 9, 2021By 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 3

Addresses

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Invigorating Mind & Body Healthcare PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport News, VA
  • NPI 1467044560
  Authorized official Same address or phone
• Childrens Specialty Group PLLC

  • Pediatrics Physician
  • Norfolk, VA
  • NPI 1255354130
  NPD

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1578978847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD STE 203A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064512",
            "telephone_number": "757-775-8837",
            "fax_number": "949-561-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD STE 203A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064512",
            "telephone_number": "757-775-8837",
            "fax_number": "949-561-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17579 Warwick Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236031343",
            "country_code": "US",
            "telephone_number": "757-888-0400 x280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LAKEYSHA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024171647",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024171647",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024171647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharese Delois Jefferson
• Xavier D Jefferson, MD
• Jeffrey N Kenney DDS PLLC
• Jencare Neighborhood Medical New Market, LLC (JenCare Neighborhood Medical New Market)
• Jenkins Psychiatric Services LLC
• Shereka Michelle Jenkins, NP
• Jennifer C Lane OD PLLC
• Brandi Jennings
• Carl A. Jensen, LMFT
• Karissa Gayle Jensen, COTA/L

• Psychiatric/Mental Health Nurse Practitioner in Newport News, VA
• Providers in Newport News, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.