Active NPI
Latonya Bond Jenkins, RN
- Registered Nurse
- Williamston, NC
National Provider Identifier
1679874788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 171872
- Practice address
- 210 W Liberty St
Williamston, NC 27892-1712 - Phone
- (252) 793-1619
- Fax
- (252) 793-1644
- NPI assigned
- Nov 4, 2010
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 171872 | NC | Primary |
Addresses
Primary practice location
210 W Liberty St
Williamston, NC 27892-1712
Mailing address
210 W Liberty St
Williamston, NC 27892-1712
Phone (252) 793-1619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181 | Other | NC | EMPLOYEE ID NUMBER |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171872 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1679874788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W LIBERTY ST",
"city": "WILLIAMSTON",
"state": "NC",
"postal_code": "278921712",
"telephone_number": "252-793-1619",
"fax_number": "252-793-1644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W LIBERTY ST",
"city": "WILLIAMSTON",
"state": "NC",
"postal_code": "278921712",
"telephone_number": "252-793-1619",
"fax_number": "252-793-1644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "LATONYA",
"middle_name": "BOND",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-04",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "171872",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYEE ID NUMBER",
"identifier": "181",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.