Rachel Marie Jelks, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

187911 Issued in TX

Practice address

1029 Pruitt Rd
Spring, TX 77380-3024

Phone

(713) 865-0254

Fax

(866) 434-1073

NPI assigned

Mar 13, 2008

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Abilitiesrx, LLC

  • Long Term Care Pharmacy
  • Spring, TX
  • NPI 1629831870
  NPD Authorized official
• Southern Concierge Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Spring, TX
  • NPI 1770469736
  NPD Authorized official
• Team Abilities LLC

  • Case Management Agency
  • Spring, TX
  • NPI 1104401017
  NPD Authorized official
• Rachel Marie Jelks

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1326284415
  NPD (past) Authorized official
• Our Community Adult Activity Center

  • Respite Care
  • Humble, TX
  • NPI 1720265390
  NPD (past)

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1073784450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 PRUITT RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803024",
            "telephone_number": "713-865-0254",
            "fax_number": "866-434-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 PRUITT RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803024",
            "telephone_number": "713-865-0254",
            "fax_number": "866-434-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELKS",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "187911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001008854",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RACHEL@TEAMABILITIESINC.COM",
            "affiliation": "N",
            "address_1": "1029 Pruitt Rd",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773803024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jda Autism Center #1 (Success on the Spectrum Spring)
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• Debra Charles Jefferson
• Jaiden Elizabeth Jefferson
• Lisa Jefferson
• Brigetta A Jenkins Bracks, NP
• Aaiyana Jenkins
• Amira M Jenkins
• Stephanie Miller Jenkins, M.A., LPC
• Zainob Jenmi

• Licensed Vocational Nurse in Spring, TX
• Providers in Spring, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.