Active NPI
Cynthia Ann Jenkins, CRC, NCLPC
- Case Manager/Care Coordinator
- Wilmington, NC
National Provider Identifier
1790993772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 2068
- Practice address
- 4114 Breezewood Dr
Unit # 101
Wilmington, NC 28412-5225 - Phone
- (910) 798-0116
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 2068 | NC | Primary |
Addresses
Primary practice location
4114 Breezewood Dr
Unit # 101
Wilmington, NC 28412-5225
Mailing address
4114 Breezewoood Drive
Apt. #101
Wilmington, NC 28412-8517
Phone (910) 798-0116
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2068 | Other | NC | LIC PRACT COUNSELOR |
| 00009616 | Other | NAT'L CERT REHAB COUNSEL |
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 |
|---|---|---|---|
| 2068 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1790993772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4114 BREEZEWOOOD DRIVE",
"address_2": "APT. #101",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284128517",
"telephone_number": "910-798-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4114 BREEZEWOOD DR",
"address_2": "UNIT # 101",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284125225",
"telephone_number": "910-798-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CRC, NCLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NC",
"license": "2068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC PRACT COUNSELOR",
"identifier": "2068",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NAT'L CERT REHAB COUNSEL",
"identifier": "00009616",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.