Caitlin Jenkins

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA9030 Issued in AZ

Practice address

101 S Airpark Rd
Ste. M.
Cottonwood, AZ 86326-4182

Phone

(928) 776-8709

NPI assigned

Aug 6, 2014

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1720497415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 HORIZON WAY",
            "address_2": "UNIT A",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235600",
            "telephone_number": "928-925-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S AIRPARK RD",
            "address_2": "STE. M.",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264182",
            "telephone_number": "928-776-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CAITLIN",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA9030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Anthony Janis, D.M.D.
• Jonathan Natividad Jarvina, M.D.
• Kiren Jaswal
• Kimberly K Jeffrey, AGACNP
• Theodore Joseph Jenal, DDS
• Ismaila Musa Jibrin, M.D.
• Jochim Family Practice LLC
• Cathleen M Jochim-Malapanes, FNP-C
• Robert H Jochim, MD
• Joe D. Ditterline, D.M.D., P.C.

• Speech-Language Assistant in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.