Individual provider Active NPI

Terrilynn F. Jenkins-Gillis

  • Speech-Language Pathologist
  • Plaquemine, LA
National Provider Identifier
1033349931
Registry record updated Jul 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6032 Issued in LA
Practice address
57685 True Hope LN
Plaquemine, LA 70764-4541
Phone
(225) 687-1775
NPI assigned
Jul 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6032 LA Primary
Speech-Language Pathologist 235Z00000X SA8715 FL

Addresses

Primary practice location

57685 True Hope LN
Plaquemine, LA 70764-4541

Mailing address

57685 True Hope LN
Plaquemine, LA 70764-4541
Phone (225) 687-1775

Other names 1

  • Terrilynn F. Jenkins Professional name

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

State licenses

LicenseStateTypeSpecialty
6032LAMDAddiction (Substance Use Disorder) Counselor
SA8715FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1248566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248566400000",
    "number": "1033349931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57685 TRUE HOPE LN",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707644541",
            "telephone_number": "225-687-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57685 TRUE HOPE LN",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707644541",
            "telephone_number": "225-687-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS-GILLIS",
        "first_name": "TERRILYNN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-26",
        "last_updated": "2009-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6032",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRILYNN",
            "last_name": "JENKINS",
            "middle_name": "F.",
            "credential": "PH.D,, CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plaquemine, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2009; 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.