Bianca R Jenkins

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6756 Issued in TN

Practice address

204 Harnett CT
Clarksville, TN 37043-2065

Phone

(931) 538-3755

NPI assigned

Sep 16, 2020

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

Other names 1

• Bianca R Barbetti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Pitts Therapies, LLC

  • Occupational Therapist
  • Clarksville, TN
  • NPI 1902455918

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1619583564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HARNETT CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432065",
            "telephone_number": "931-538-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HARNETT CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432065",
            "telephone_number": "931-538-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "BIANCA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIANCA",
            "last_name": "BARBETTI",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Jay
• Mason Jay
• Lashanda Ida Jefferson, APRN
• Jeffersons Healthcare Services LLC
• David Matthew Jeffries, PTA
• Kelsey Jenkins
• Kira Jenkins
• Macie Laine Jenkins
• Shemeka Lajuana Jenkins
• Tevin Lamarr Jenkins

• Speech-Language Pathologist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.