Active NPI
Jenisha Nikita Hampton, OWNER
- Non-emergency Medical Transport (VAN)
- Memphis, TN
National Provider Identifier
1952068330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 802119171
- Practice address
- 401 Laclede Ave Apt 1
Memphis, TN 38126-6025 - Phone
- (901) 679-1271
- NPI assigned
- Nov 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 802119171 | MS | Primary |
Addresses
Primary practice location
401 Laclede Ave Apt 1
Memphis, TN 38126-6025
Mailing address
401 Laclede Ave Apt 1
Memphis, TN 38126-6025
Phone (901) 679-1271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 802119171 | Medicaid | MS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 802119171 | MS | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637366400000",
"number": "1952068330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 LACLEDE AVE APT 1",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381266025",
"telephone_number": "901-679-1271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 LACLEDE AVE APT 1",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381266025",
"telephone_number": "901-679-1271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMPTON",
"first_name": "JENISHA",
"middle_name": "NIKITA",
"name_prefix": "Mrs.",
"credential": "OWNER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-20",
"last_updated": "2021-11-20",
"certification_date": "2021-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "MS",
"license": "802119171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "802119171",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.