Kenaud Jeune, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

000293-PA Issued in PR

Practice address

5817 Fairglen Ave Apt 312
Fort Worth, TX 76137-6810

Phone

(516) 695-8102

NPI assigned

Apr 6, 2020

Last updated

Apr 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1871122382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 FAIRGLEN AVE APT 312",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761376810",
            "telephone_number": "516-695-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5817 FAIRGLEN AVE APT 312",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761376810",
            "telephone_number": "516-695-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEUNE",
        "first_name": "KENAUD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "000293-PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jkenaud1@gmail.com",
            "affiliation": "N",
            "address_1": "5817 Fairglen Ave Apt 312",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761376810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason Ryan Jeter
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• Tiffany Jeter, APRN, CPNP-AC
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• Whitney Ground Jett, SLP
• Stephanie Ann Jevas, PHD, ATC, LAT
• Heather Elizabeth Jewell, CRNA
• Jhamb Enterprises, Inc. (Gateway Home Medical)
• Jhand Dental PLLC
• Nezar Alexander Jifi, DO

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.