Irma N Jenkins, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C00494 Issued in AR

Practice address

1601 New Castle Rd
Forrest City, AR 72335-2218

Phone

(870) 261-0513

Fax

(870) 261-0126

NPI assigned

Oct 11, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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

• Conway Anesthesiology Consultants, P.a.

  • Anesthesiology Physician
  • Conway, AR
  • NPI 1568423820
  NPD (past)
• Conway Regional Medical Center Inc

  • General Acute Care Hospital
  • Conway, AR
  • NPI 1497770424
  NPD (past)
• Little Rock Outpatient Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1548256365
  NPD (past)
• Little Rock Outpatient Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1861488587
  NPD (past)
• Ouachita Regional Anesthesia PLLC

  • Anesthesiology Physician
  • Hot Springs, AR
  • NPI 1982699153
  NPD (past)
• Stuttgart Regional Medical Center

  • General Acute Care Hospital
  • Stuttgart, AR
  • NPI 1306921747
  NPD (past)
• Stuttgart Regional Medical Center

  • Certified Registered Nurse Anesthetist
  • Stuttgart, AR
  • NPI 1316955891

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Dyersburg Hospital Company LLC

  • Anesthesiology Physician
  • Dyersburg, TN
  • NPI 1164471413

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1841288040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6286 BRIARCREST AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204023",
            "telephone_number": "901-747-4624",
            "fax_number": "901-261-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NEW CASTLE RD",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352218",
            "telephone_number": "870-261-0513",
            "fax_number": "870-261-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "IRMA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C00494",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R015393",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "P000113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE SHIELD",
            "identifier": "59463",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00299197",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135871701",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE OF ARKANSAS",
            "identifier": "1841288040",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1841288040",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE - SOUTH REGION",
            "identifier": "1841288040",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BAPTIST HEALTH SERVICES GROUP, INC.",
            "identifier": "1841288040",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine Furdge Jackson, APRN
• Marvin L Jackson, MHPP
• James Franks Family Medicine
• James T. Meredith Jr MD PA
• Bethany Jeffers, RN
• Byron Edney Johnson, PHARMD
• Jimmy T Johnson
• Nathalie Johnson, BS MHPP
• Summer Ashton Johnson
• Shonda Jones-Kelly

• Certified Registered Nurse Anesthetist in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.