Jenna Tenold, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-01888 Issued in KS

Practice address

16538 W 159TH Ter
Olathe, KS 66062-3924

Phone

(913) 829-1660

Fax

(913) 829-1770

NPI assigned

Nov 12, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Richard a Bloomfield

  dba Newport Family Practice

  • Family Medicine Physician
  • Newport, NC
  • NPI 1114993276
  NPD (past)

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1588037568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16538 W 159TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623924",
            "telephone_number": "913-829-1660",
            "fax_number": "913-829-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16538 W 159TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623924",
            "telephone_number": "913-829-1660",
            "fax_number": "913-829-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENOLD",
        "first_name": "JENNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Taylor, RPH, PHARM.D.
• Leticia Ann Holub Taylor, PH.D.
• Thomas R Taylor, D.C.
• Rebecca Teaford-Boldridge, LMAC
• Jennifer L Tennis, P.T.A.
• Kelsey Jade Tenpenny, MD
• Leslie Diane Thacker, LPC, PLPC
• Kush Vimalkumar Thaker, M.B.B.S
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan - Olathe)
• The Eye Club

• Physician Assistant in Olathe, KS
• Providers in Olathe, KS by specialty
• Physician Assistant 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.