Jencare Neighborhood Medical Shockoe Bottom, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM, LLC

Doing business as

JenCare Neighborhood Medical Shockoe Bottom

Practice address

1712 E Broad St
Richmond, VA 23223-6930

Phone

(804) 644-0059

NPI assigned

Jun 2, 2011

Organization subpart

No

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

Authorized official

Name

Mary Chen

Title

Authorized Official

Phone

(305) 831-4722

Specialties & licenses 2

Addresses

Other names 1

• JenCare Neighborhood Medical Shockoe Bottom Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1922392497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 E BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236930",
            "telephone_number": "804-644-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENCARE NEIGHBORHOOD MEDICAL SHOCKOE BOTTOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-831-4722"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JenCare Neighborhood Medical Shockoe Bottom",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JenCare Neighborhood Medical Shockoe Bottom",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Marie Jeffries, BCAT
• Jemina Counseling and Consulting PLLC
• Tripti B Jena, MD
• Jencare Neighborhood Medical East Richmond, LLC
• Jencare Neighborhood Medical Hull St, LLC
• Jenel Morian, Pmhnp, LLC
• Jennifer Elaine Jenkins Boitnott, LPC, NCC
• Amber Marie Sholl Jenkins, D.O.
• Blake Jenkins, DPT
• Cassidy Jenkins, PH.D.

• Internal Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.