Active NPI
Martha Lee Jenkins, PA-C
- Physician Assistant
- Baton Rouge, LA
National Provider Identifier
1730357807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA .A10217.RX
- Practice address
- 5825 Airline Hwy
Lsu Unit
Baton Rouge, LA 70805-2408 - Phone
- (225) 358-1065
- Fax
- (225) 358-1076
- NPI assigned
- Feb 12, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA .A10217.RX | LA | Primary |
Addresses
Primary practice location
5825 Airline Hwy
Lsu Unit
Baton Rouge, LA 70805-2408
Mailing address
5825 Airline Hwy
Lsu Unit
Baton Rouge, LA 70805-2408
Phone (225) 358-1065
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA .A10217.RX | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsuhn Billing 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.
-
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- NPI 1306247556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1730357807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5825 AIRLINE HWY",
"address_2": "LSU UNIT",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708052408",
"telephone_number": "225-358-1065",
"fax_number": "225-358-1076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5825 AIRLINE HWY",
"address_2": "LSU UNIT",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708052408",
"telephone_number": "225-358-1065",
"fax_number": "225-358-1076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "MARTHA",
"middle_name": "LEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA .A10217.RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.