Individual provider Active NPI

Julia Renee Jenkins, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Cedar Rapids, IA
National Provider Identifier
1902604853
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
131688 Issued in IA
Practice address
5005 Bowling St SW Ste C
Cedar Rapids, IA 52404-5070
Phone
(319) 531-3824
NPI assigned
Mar 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 131688 IA Primary

Addresses

Primary practice location

5005 Bowling St SW Ste C
Cedar Rapids, IA 52404-5070

Mailing address

5005 Bowling St SW Ste C
Cedar Rapids, IA 52404-5070

Other practice location 1

5005 Bowling St SW Ste C
Cedar Rapids, IA 52404-5070
Phone (319) 531-3824

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
131688IAMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1902604853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 BOWLING ST SW STE C",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 BOWLING ST SW STE C",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045070",
            "telephone_number": "319-531-3824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 Bowling St SW Ste C",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524045070",
            "country_code": "US",
            "telephone_number": "319-531-3824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JULIA",
        "middle_name": "RENEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "131688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.