Active NPI
Shamika N. Jenkins, RN
- Registered Nurse
- Toledo, OH
National Provider Identifier
1811260128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704309494
- Practice address
- 5732 Hill Ave
Toledo, OH 43615-5853 - Phone
- (419) 806-5206
- NPI assigned
- Feb 16, 2012
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Continence Care Registered Nurse | 163WC2100X | 4704309494 | MI | |
| Wound Care Registered Nurse | 163WW0000X | 4704309494 | MI | |
| Diabetes Educator Registered Nurse | 163WD0400X | 4704309494 | MI | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 4704309494 | MI | |
| Enterostomal Therapy Registered Nurse | 163WE0900X | 4704309494 | MI | |
| Licensed Practical Nurse | 164W00000X | PN.116073 | OH | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 4704309494 | MI | |
| Administrator Registered Nurse | 163WA2000X | 4704309494 | MI | |
| Ambulatory Care Registered Nurse | 163WP2201X | 4704309494 | MI | |
| Community Health Registered Nurse | 163WC1500X | 4704309494 | MI | |
| Registered Nurse | 163W00000X | 4704309494 | MI | Primary |
| Case Management Registered Nurse | 163WC0400X | 4704309494 | MI | |
| Hospice Registered Nurse | 163WH1000X | 4704309494 | MI | |
| Home Health Registered Nurse | 163WH0200X | 4704309494 | MI | |
| Ostomy Care Registered Nurse | 163WX1500X | 4704309494 | MI |
Addresses
Primary practice location
5732 Hill Ave
Toledo, OH 43615-5853
Mailing address
5732 Hill Ave
Toledo, OH 43615-5853
Phone (419) 806-5206
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704309494 | MI | MD | Registered Nurse |
| PN.116073 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1811260128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5732 HILL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436155853",
"telephone_number": "419-806-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5732 HILL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436155853",
"telephone_number": "419-806-5206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "SHAMIKA",
"middle_name": "N.",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-16",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WC2100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continence Care",
"state": "MI",
"license": "4704309494",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "MI",
"license": "4704309494",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "MI",
"license": "4704309494",
"primary": false
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "MI",
"license": "4704309494",
"primary": false
},
{
"code": "163WE0900X",
"taxonomy_group": "",
"desc": "Registered Nurse, Enterostomal Therapy",
"state": "MI",
"license": "4704309494",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN.116073",
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "4704309494",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "MI",
"license": "4704309494",
"primary": false
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "MI",
"license": "4704309494",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MI",
"license": "4704309494",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704309494",
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MI",
"license": "4704309494",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "MI",
"license": "4704309494",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MI",
"license": "4704309494",
"primary": false
},
{
"code": "163WX1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ostomy Care",
"state": "MI",
"license": "4704309494",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.