Tammy Michelle Jenkins Raleigh, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11022950 Issued in FL

Practice address

1801 W Sample Rd Ste 301
Deerfield Beach, FL 33064-1370

Phone

(954) 266-5306

NPI assigned

Dec 15, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Tammy Michelle Jenkins Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tammy.jenkinsraleigh@vitas.com

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.

• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Boynton Beach, FL
  • NPI 1467507657
  NPD (past)
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Miami Lakes, FL
  • NPI 1528113792
  NPD (past)

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1699487165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21030 CHINABERRY DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W SAMPLE RD STE 301",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641370",
            "telephone_number": "954-266-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS RALEIGH",
        "first_name": "TAMMY",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11022950",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11022950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tammy.jenkinsraleigh@vitas.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1801 W Sample Rd Ste 301",
            "city": "Deerfield Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330641370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "JENKINS",
            "middle_name": "MICHELLE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christeen Jefferson, AGPCNP-BC
• Jasmine Jefferson
• Jeffrey a Samuels M D P a
• Grace N Jeffreys
• Faige Jeidel
• Edkeria Lasha Jenkins
• Shanitta Ann Jenkins
• Jersey Surgery, P.L.
• Amber Jessie
• Kiersten Jett

• Nurse Practitioner in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.