Shavese Keitary Jenkins

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

40661 Issued in WV

Practice address

2920 E Cumberland Rd
Bluefield, WV 24701-4807

Phone

(304) 960-1714

NPI assigned

Dec 1, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shavese Keitary Jenkins Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Rest & Assurance LLC

  • Licensed Practical Nurse
  • Bluefield, WV
  • NPI 1225984438
  NPD Authorized official

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1932061629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 E CUMBERLAND RD",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014807",
            "telephone_number": "304-960-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 E CUMBERLAND RD",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014807",
            "telephone_number": "304-960-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "SHAVESE",
        "middle_name": "KEITARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "40661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAVESE",
            "last_name": "JENKINS",
            "middle_name": "KEITARY",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Island Medical Bluefield LLC
• Eddie Jackson
• Jain and Olmsted Partnership
• Teresa E. Jarrell, M.A.
• Domingo Gonzales Javier, MD
• Emmanuel Jennings
• Noah Jennings
• Melissa Jessee
• Jessica Cole Professional Counseling, LLC
• Charlotte Johnson

• Licensed Practical Nurse in Bluefield, WV
• Providers in Bluefield, WV by specialty
• Licensed Practical Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.