Lydia Jenkins, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R2241 Issued in AZ

Practice address

7720 E Calle del Minique
Tucson, AZ 85750-7055

Phone

(520) 235-6267

NPI assigned

Jun 9, 2013

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1370736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1689012916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 IRONGATE CT",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029626",
            "telephone_number": "520-235-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 E CALLE DEL MINIQUE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857507055",
            "telephone_number": "520-235-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LYDIA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-09",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "R2241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Jendusa, M.D.
• Emron Talbot Jenkins, D.C.
• Julie Ann Jenkins, RN, BSN, CCRN
• Latoshia Renee Jenkins, LPN
• Linda Sue Jenkins
• Mona Ann Jenkins, PTA
• Shawnna Lynn Jenkins, FNP-C
• Cory Michael Jenks, PHARMD
• Jenna Park DMD PLC
• Richard Dean Jennen, PSY.D.

• Pediatrics Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatrics Physician in Arizona

• 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.