Johna Moore Jenkins, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024169938 Issued in VA

Practice address

700 N Main St
Suite J
Blacksburg, VA 24060-3312

Phone

(540) 951-7009

Fax

(540) 951-5192

NPI assigned

May 18, 2012

Last updated

May 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in VA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johna.jenkins.1@18289.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Ridge Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Roanoke, VA
  • NPI 1437137734
  Medicare reassignment NPD

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1730449224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N MAIN ST",
            "address_2": "SUITE J",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603312",
            "telephone_number": "540-951-7009",
            "fax_number": "540-951-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N MAIN ST",
            "address_2": "SUITE J",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603312",
            "telephone_number": "540-951-7009",
            "fax_number": "540-951-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JOHNA",
        "middle_name": "MOORE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Beard Jaudon, LCSW
• Jay M. Bass D.D.S. P.C. (NRV Family Dentistry)
• Jessica Jeffrey, DO
• Bethany Jenkins, LPC
• Heather Jenkins, LCSW
• Jennifer Price, LCSW, Inc
• Wenyue Jenny Jing, MDCM, MSC
• Joe a. Paget, Jr. DDS LTD
• John B Paulus DO LLC
• John T Holland, DO (Blacksburg Psychiatry)

• Family Nurse Practitioner in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.