TANYA TAMIKA JENKINS (NPI# 1548726136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548726136 |
| Entity Type | Individual |
| Full Name | TANYA TAMIKA JENKINS |
| Credential | FNP |
| Practice Address |
210 S Main St Crestview FL 32536-3737 |
| Practice Telephone | 8502266801 |
| Practice Fax Number | 8774135104 |
| Mailing Telephone | 8502266801 |
| Mailing Fax Number | 8774135104 |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-103793 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11001999 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295194645 | Tanya Jenkins | Registered Nurse | 1003 Caledonia Ave, Cleveland Hts, OH 44112-2320 | 2016-02-14 |
| 1942702311 | Tanya Renne Jenkins | Technician | 801 S Rancho Dr Ste E2b, Las Vegas, NV 89106-3812 | 2018-03-01 |
| 1710370937 | Tanya Jenkins | Counselor | 700 Woodlane Rd, Westampton, NJ 08060-9615 | 2015-03-12 |
| 1548443344 | Tanya Y. Jenkins | Counselor | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2007-12-14 |
| Street Address |
210 S MAIN ST |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32536-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861963290 | Dynamic Pain & Wellness Pllc | Clinic/Center | 210 S Main St, Crestview, FL 32536-3737 | 2018-12-11 |
| 1821531013 | Dynamic Pain & Wellness Pllc | Pain Medicine | 210 S Main St, Crestview, FL 32536-3737 | 2016-11-21 |
| 1699114025 | Matthew Timothy Mcewan | Pain Medicine | 210 S Main St, Crestview, FL 32536-3737 | 2013-06-19 |
| 1316970114 | Robert Lance Whorton | Physical Therapist | 210 S Main St, Crestview, FL 32536-3737 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831684901 | Eva Maria I Matute | Adult Companion | 6050 Trestle St, Crestview, FL 32536 | 2018-06-29 |
| 1669989232 | Lauren Estep Flowers | Physician Assistant | 550 Redstone Ave W Ste 370, Crestview, FL 32536 | 2018-01-04 |
| 1427444868 | Jessie Huisken | Social Worker | 5890 Saratoga Dr, Crestview, FL 32536 | 2015-04-13 |
| 1679846166 | John D. Carlson Md | Specialist | 492 North Wilson Street, Crestview, FL 32536 | 2012-02-15 |
| 1154609691 | Alternative Living, Inc. | Assisted Living Facility | 603 North Pearl Street, Crestview, FL 32536 | 2011-08-02 |
| 1487821526 | Michael G Foley Md Pa | Internal Medicine | 524 James Lee Blvd W, Crestview, FL 32536 | 2008-05-08 |
| 1184805830 | Advanced Family Medicine Clinic Inc | Family Medicine | 327 Medcrest Drive, Unit A, Crestview, FL 32536 | 2007-11-23 |
| 1164631511 | Caring Hearts Pediatric Extended Care Center, Inc | Clinic/Center | 380 Medcrest Dr, Crestview, FL 32536 | 2007-05-22 |
| 1669697751 | Crestview Chiropractic Clinic, Inc. | Chiropractor | 1078 S. Ferdon Boulevard, Suite A, Crestview, FL 32536 | 2007-04-16 |
| 1457492886 | Roy M Nakaiye | Dentist | 222 Cedar Ave, Crestview, FL 32536 | 2007-02-09 |
| Find all providers in zip 32536 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881168284 | Mary-ellen Dorathy Katrina Tinnerello | Nurse Practitioner | 4664 Browning Ct, Crestview, FL 32539-5730 | 2019-01-18 |
| 1215426846 | Emily Winona Bundrick | Nurse Practitioner | 5681 Ryan Rd, Crestview, FL 32539-8823 | 2018-05-09 |
| 1942237458 | Linda Cheryl Foley | Nurse Practitioner | 109 Old South Dr, Crestview, FL 32536-5565 | 2006-06-28 |
| 1659913606 | Shirley Blanco | Nurse Practitioner | 800 Hospital Dr, Crestview, FL 32539-7385 | 2019-10-10 |
| 1326607276 | Brittany Marie Arbacheski Fais | Nurse Practitioner | 369 N Main St, Crestview, FL 32536-3541 | 2019-06-12 |
| 1689144198 | Kayla Scott | Nurse Practitioner | 151 E Redstone Ave, Crestview, FL 32539-5352 | 2018-11-27 |
| 1013434570 | Brittany Nicole Grimes | Nurse Practitioner | 129 E Redstone Ave Ste A, Crestview, FL 32539-5350 | 2017-08-25 |
| 1821510835 | Melissa Dianne Davis | Nurse Practitioner | 151 E Redstone Ave, Crestview, FL 32539-5352 | 2017-07-11 |
| 1013377720 | Michelle Therese Koski | Nurse Practitioner | 302 E James Lee Blvd, Crestview, FL 32539-2827 | 2016-02-24 |
| 1457766214 | Lindsey Alaina Mann-badyrka | Nurse Practitioner | 332 Medcrest Dr, Crestview, FL 32536-6440 | 2014-06-30 |
| Find all providers in CRESTVIEW | ||||
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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.