Kendall Jenkins

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

40518 Issued in TX

Practice address

4062 Summerhill SQ
Texarkana, TX 75503-2730

Phone

(903) 908-3839

NPI assigned

Feb 27, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Icare Pediatric & Adult Therapy LLC

  • Physical Therapy Clinic/Center
  • Texarkana, TX
  • NPI 1568992352
  NPD (past)

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1982105789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 STONE LEDGE DR",
            "address_2": "APT 1322",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "75503",
            "telephone_number": "832-334-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 SUMMERHILL SQ",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032730",
            "telephone_number": "903-908-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KENDALL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "40518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP- ASSITANT",
            "identifier": "40158",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff P Young MD PA
• Jeffory F Thomas, MD PA
• Jeffrey D Decaprio MD PA
• Jeffrey L. Martin DDS,P.a.
• Kacey D Jenkins
• Chad Allen Jennings, MS,OTR
• Cindy Jennings, MSCCCSLP
• Martha Jennings, PT
• Jerome Watson LLC
• John M Strayhorn MD PA

• Speech-Language Assistant in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.