Constance Adell Jenkins

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

G0192394 Issued in CA

Practice address

2920 Clark Rd SPC 16B
Oroville, CA 95965-9140

Phone

(530) 813-0554

NPI assigned

Sep 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1962053074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1356",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959671356",
            "telephone_number": "530-327-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 CLARK RD SPC 16B",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959659140",
            "telephone_number": "530-813-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CONSTANCE",
        "middle_name": "ADELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "CA",
            "license": "G0192394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "constancejenkins39@gmail.com",
            "affiliation": "N",
            "endpointDescription": "desk@stevenjenkins.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2920 Clark Rd Spc 16B",
            "city": "Oroville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959659140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Devin Danial Jatko
• Mireya Jauregui, MA PPS
• Veronica Jawor, RASI
• Jeff Wilson DDS, Inc.
• Jeffrey W Klink, O.D.
• Darla Lyn Jeremiah, PT
• Emily Grace Jeska, ACSW
• Jin Cha DDS Inc
• Christopher Mallory Jobe, M.D.
• Pamela Stowers Johansen

• Attendant Care Provider in Oroville, CA
• Providers in Oroville, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.