SHELBY MILLER JENKINS (NPI# 1154878825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154878825 |
| Entity Type | Individual |
| Full Name | SHELBY MILLER JENKINS |
| Credential | PA |
| Practice Address |
950 N Avalon Way Lecanto FL 34461-6004 |
| Mailing Address |
Po Box 1990 Crystal River FL 34423-1990 |
| Practice Telephone | 3527462663 |
| Practice Fax Number | 3527466907 |
| Mailing Telephone | 3527464176 |
| Mailing Fax Number | 3527466907 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2019-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9109716 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | PA9109716 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508332818 | Shelby Jenkins | Behavior Technician | 523 N 291 Hwy, Liberty, MO 64068-1045 | 2018-10-15 |
| 1790277986 | Shelby Ann Jenkins | Counselor | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2018-06-04 |
| 1972973527 | Shelby N Jenkins | Case Manager/Care Coordinator | 975 Kingsview Dr, Bldg B, Lebanon, OH 45036-9562 | 2015-09-25 |
| 1396066429 | Shelby Renee Jenkins | Occupational Therapist | 1400 Jackson St, Denver, CO 80206-2761 | 2010-06-11 |
| Street Address |
950 N AVALON WAY |
| City | LECANTO |
| State | FL |
| Zip Code | 34461-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730165101 | Eric W Hirsch | Orthopaedic Surgery | 950 N Avalon Way, Lecanto, FL 34461-6004 | 2005-12-19 |
| 1467093278 | The Orthopaedic Institute, Pa | Podiatrist | 950 N Avalon Way, Lecanto, FL 34461-6004 | 2019-10-02 |
| 1154972511 | Matthew Witt | Physician Assistant | 950 N Avalon Way, Lecanto, FL 34461-6004 | 2019-09-26 |
| 1073062956 | Kendel Vickers | Physician Assistant | 950 N Avalon Way, Lecanto, FL 34461-6004 | 2016-10-03 |
| 1700212644 | The Achievement Center of Citrus County, P.a. | Clinic/Center | 950 N Avalon Way, Lecanto, FL 34461-6004 | 2013-09-24 |
| 1508177528 | James Edward Lapid | Physical Therapist | 950 N Avalon Way, Lecanto, FL 34461-6004 | 2010-06-24 |
| 1063629012 | Christopher Aaron Keen | Orthopaedic Surgery | 950 N Avalon Way, Lecanto, FL 34461-6004 | 2007-05-17 |
| 1275668063 | Citrus Orthopaedic and Joint Institute, Pa | Orthopaedic Surgery | 950 N Avalon Way, Lecanto, FL 34461-6004 | 2007-02-22 |
| 1215075957 | Pamella J Martin | Physical Therapist | 950 N Avalon Way, Lecanto, FL 34461-6004 | 2007-02-02 |
| 1437297108 | David M Newton | Physician Assistant | 950 N Avalon Way, Lecanto, FL 34461-6004 | 2007-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
| 1699240887 | Medical Risk Solutions | Family Medicine | 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 | 2018-10-04 |
| 1851848097 | Pedim Outreach and Specialty Clinic LLC | Family Medicine | 1982 N Prospect Ave, Lecanto, FL 34461 | 2016-09-06 |
| 1265776579 | Wal-mart Stores East Lp | Technician/Technologist | 1936 N. Lecanto Hwy, Lecanto, FL 34461 | 2012-11-27 |
| 1922306109 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1980 North Prospect Avenue, Lecanto, FL 34461 | 2011-03-11 |
| 1942459078 | Crq Enterprises LLC | Home Health | 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 | 2008-09-12 |
| 1548418064 | Thomas Tybeck | Counselor | 324 S Kensington Ave Ste 328, Lecanto, FL 34461 | 2008-09-09 |
| 1356533566 | Amanda Nicole Coppedge | Optometrist | 240 N. Lecanto Hwy., Lecanto, FL 34461 | 2007-08-11 |
| 1679779185 | Brashears Vital Care Corp | Pharmacy | 471 N Dacie Pt, Lecanto, FL 34461 | 2007-06-22 |
| 1285751099 | Interim Healthcare Private Services, Inc. | Home Health | 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 | 2007-03-25 |
| Find all providers in zip 34461 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
| 1487273256 | Brittany Alce | Physician Assistant | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2020-04-13 |
| 1447898150 | Nicole Schnell | Physician Assistant | 525 N Dacie Pt, Lecanto, FL 34461-8399 | 2019-12-12 |
| 1154972511 | Matthew Witt | Physician Assistant | 950 N Avalon Way, Lecanto, FL 34461-6004 | 2019-09-26 |
| 1518516590 | Hollie Taina Marie Saylor | Physician Assistant | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2019-09-11 |
| 1679098305 | Alexis Bushman | Physician Assistant | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2017-08-03 |
| 1073062956 | Kendel Vickers | Physician Assistant | 950 N Avalon Way, Lecanto, FL 34461-6004 | 2016-10-03 |
| 1447615109 | Sarah Joerres | Physician Assistant | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2015-12-23 |
| 1013380310 | Melanie Davies | Physician Assistant | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2015-11-09 |
| 1326455965 | Allison Lynn Onkala | Physician Assistant | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2014-07-15 |
| Find all providers in LECANTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.