Individual provider Active NPI

Christina Nicole Jennings, WHNP

  • Women's Health Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1912387465
Registry record updated May 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024172527 Issued in VA
Practice address
11551 Nuckols Rd Ste C
Glen Allen, VA 23059-5565
Phone
(804) 888-6800
NPI assigned
May 30, 2015
Last updated
May 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024172527 VA Primary

Addresses

Primary practice location

11551 Nuckols Rd Ste C
Glen Allen, VA 23059-5565

Mailing address

11551 Nuckols Rd Ste C
Glen Allen, VA 23059-5565
Phone (804) 888-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170103000165 VA Practitioner - Nurse Practitioner 5092096222 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024172527VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of Virginia State Board of Health Current Accepting new patients
Commonwealth of Virginia State Board of Health CurrentSince Oct 8, 2016 Accepting new patients
Commonwealth of Virginia State Board of Health CurrentSince Oct 8, 2016 Accepting new patients

Locations

12312 Washington Hwy
Ashland, VA 23005
Phone (804) 365-4313

109 Governor St
Fl 13
Richmond, VA 23219
Phone (804) 864-7009

400 E Cary St
Richmond, VA 23219
Phone (804) 205-3746

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432944000000",
    "number": "1912387465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 NUCKOLS RD STE C",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595565",
            "telephone_number": "804-888-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 NUCKOLS RD STE C",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595565",
            "telephone_number": "804-888-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "CHRISTINA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-30",
        "last_updated": "2015-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024172527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.