Active NPI
Tashaka Jenkins
- Homemaker
- Greenville, MS
National Provider Identifier
1992203442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 827 Main St
Greenville, MS 38701-4110 - Phone
- (662) 537-3065
- NPI assigned
- Jan 30, 2018
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
827 Main St
Greenville, MS 38701-4110
Mailing address
1148 Lourdes St
Greenville, MS 38703-6529
Phone (662) 822-8865
Other practice location 1
1148 Lourdes St
Greenville, MS 38703-6529
Phone (662) 822-8865
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1992203442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 LOURDES ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387036529",
"telephone_number": "662-822-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 MAIN ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387014110",
"telephone_number": "662-537-3065"
}
],
"practiceLocations": [
{
"address_1": "1148 Lourdes St",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "MS",
"postal_code": "387036529",
"country_code": "US",
"telephone_number": "662-822-8865",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "TASHAKA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.