Active NPI
Gavin Jenkins, CRNA, APRN
- Certified Registered Nurse Anesthetist
- Ashland, KY
National Provider Identifier
1609708114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4059089
- Practice address
- 2201 Lexington Ave
Ashland, KY 41101-2843 - Phone
- (606) 408-4000
- NPI assigned
- May 30, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4059089 | KY | Primary |
Addresses
Primary practice location
2201 Lexington Ave
Ashland, KY 41101-2843
Mailing address
19 Pyramid Dr Apt 1903
Huntington, WV 25705-3277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kings Daughters Medical Specialties Inc
Practice addresses (Care Compare)
1901 Argonne Rd
Portsmouth, OH 45662-2827
Phone (740) 353-1978
2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4059089 | KY | MD | Certified Registered Nurse Anesthetist |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Prestonsburg, KY
- NPI 1710215736
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780099200000",
"number": "1609708114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 PYRAMID DR APT 1903",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257053277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 LEXINGTON AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012843",
"telephone_number": "606-408-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "GAVIN",
"name_prefix": "Dr.",
"credential": "CRNA, APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-30",
"last_updated": "2026-05-30",
"certification_date": "2026-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "4059089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.