Active NPI
Geneva Gail Jenkins
- Nurse's Aide
- Ironton, OH
National Provider Identifier
1891917159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- Tonda Willis
1505 Lawrence Street Apt E9
Ironton, OH 45638 - Phone
- (740) 532-0852
- NPI assigned
- May 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NU | Primary |
Addresses
Primary practice location
Tonda Willis
1505 Lawrence Street Apt E9
Ironton, OH 45638
Mailing address
108 Private Drive 411
Ironton, OH 45638-7604
Phone (740) 550-6965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2284773 | Other | OH | INDPENDENT PROVIDER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891917159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 PRIVATE DRIVE 411",
"city": "IRONTON",
"state": "OH",
"postal_code": "456387604",
"telephone_number": "740-550-6965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TONDA WILLIS",
"address_2": "1505 LAWRENCE STREET APT E9",
"city": "IRONTON",
"state": "OH",
"postal_code": "45638",
"telephone_number": "740-532-0852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "GENEVA",
"middle_name": "GAIL",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDPENDENT PROVIDER",
"identifier": "2284773",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ironton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.