Heather M Jenks, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

343409570513E Issued in NY

Practice address

40 McIntyre St Apt C2
Fort Edward, NY 12828-1644

Phone

(518) 630-1298

NPI assigned

Dec 20, 2019

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1811535875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MCINTYRE ST APT C2",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128281644",
            "telephone_number": "518-630-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MCINTYRE ST APT C2",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128281644",
            "telephone_number": "518-630-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKS",
        "first_name": "HEATHER",
        "middle_name": "M",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NY",
            "license": "343409570513E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H41731474",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "heathermarie327@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40 McIntyre St Apt C2",
            "city": "Fort Edward",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128281644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hudson Falls Central School
• Hudson Falls School District
• Hudson Headwaters Health Network
• Hudson Headwaters Health Network
• Sarah E Hyland, FNP
• Ashley Diane Johnson, LPN
• Fatima Khalil Khan
• Natalya Sheetal Lakhtakia, MA CCC-SLP
• Stephen Lape, LPN
• Diane S. Leach, P.T.

• Nurse's Aide in Fort Edward, NY
• Providers in Fort Edward, NY by specialty
• Nurse's Aide in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.