Active NPI
Jandi Jo Jenkins, LPN
- Licensed Practical Nurse
- Machesney Park, IL
National Provider Identifier
1730315896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 043.083080
- Practice address
- 908 Crystal Dr
Machesney Park, IL 61115-1874 - Phone
- (815) 985-9724
- Fax
- (815) 282-1477
- NPI assigned
- Jun 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043.083080 | IL | Primary |
Addresses
Primary practice location
908 Crystal Dr
Machesney Park, IL 61115-1874
Mailing address
908 Crystal Dr
Machesney Park, IL 61115-1874
Phone (815) 282-1477
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043.083080 | IL | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Care 4 U LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Machesney Park, IL
- NPI 1922234095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243987200000",
"number": "1730315896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 CRYSTAL DR",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611151874",
"telephone_number": "815-282-1477",
"fax_number": "815-282-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 CRYSTAL DR",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611151874",
"telephone_number": "815-985-9724",
"fax_number": "815-282-1477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "JANDI",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-03",
"last_updated": "2009-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IL",
"license": "043.083080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Machesney Park, IL
- Kyle Hulsebus, D.C.
- Ryan James Hulsebus, D.C.
- HW Holdings (All About Eyes)
- James P. Hulsebus (Hulsebus Chiropractic Clinic)
- Mary Kathleen Javurek Lee, DT/DTH
- Steven Lee Johnson, RPH
- Jennifer Powers Jones, PHARMD
- Joseph N Mangiardi PC (American Vision Center)
- Kenneth M Lutsch,DDS,LTD
- Khulan Khuchitbaatar, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.