Active NPI
Kristy Jenkins
- Occupational Therapist
- Owensboro, KY
National Provider Identifier
1841624020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- KY-R4354
- Practice address
- 2126 Village Run
Owensboro, KY 42303-4045 - Phone
- (270) 952-5652
- NPI assigned
- Aug 24, 2013
- Last updated
- Sep 23, 2013
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | KY-R4354 | KY | Primary |
Addresses
Primary practice location
2126 Village Run
Owensboro, KY 42303-4045
Mailing address
2126 Village Run
Owensboro, KY 42303-4045
Phone (270) 952-5652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GO-275 | Medicaid | KY |
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 |
|---|---|---|---|
| KY-R4354 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1841624020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2126 VILLAGE RUN",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423034045",
"telephone_number": "270-952-5652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 VILLAGE RUN",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423034045",
"telephone_number": "270-952-5652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "KRISTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-24",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "KY-R4354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GO-275",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.