Sentreila Collen Dinkens, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9347185 Issued in FL

Practice address

4340 Dinner Lake Blvd
Lake Wales, FL 33859-2129

Phone

(863) 326-8325

NPI assigned

Jul 4, 2022

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1760115174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CEDAR RIDGE DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302419436",
            "telephone_number": "863-326-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 DINNER LAKE BLVD",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338592129",
            "telephone_number": "863-326-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINKENS",
        "first_name": "SENTREILA",
        "middle_name": "COLLEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9347185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; 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.