Active NPI
Adriana Jenkins, HAIR LOSS SPECIALIST
- Prosthetics Case Management
- Tampa, FL
National Provider Identifier
1851815302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- CL1229896
- Practice address
- 7402 N 56TH St Ste 909
Tampa, FL 33617-7733 - Phone
- (813) 534-0025
- NPI assigned
- Jul 26, 2017
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | CL1229896 | FL | Primary |
Addresses
Primary practice location
7402 N 56TH St Ste 909
Tampa, FL 33617-7733
Mailing address
PO Box 11434
Tampa, FL 33680-1434
Phone (813) 534-0025
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 |
|---|---|---|---|
| CL1229896 | FL | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501027200000",
"number": "1851815302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11434",
"city": "TAMPA",
"state": "FL",
"postal_code": "336801434",
"telephone_number": "813-534-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7402 N 56TH ST STE 909",
"city": "TAMPA",
"state": "FL",
"postal_code": "336177733",
"telephone_number": "813-534-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "ADRIANA",
"credential": "HAIR LOSS SPECIALIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2017-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "FL",
"license": "CL1229896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.