Active NPI
Erica Marie Jenkins, NP, RN
- Gerontology Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1174865729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 21160
- Practice address
- 100 UCLA Medical PLZ Ste 760
Los Angeles, CA 90024-6990 - Phone
- (310) 264-7246
- Fax
- (310) 882-7005
- NPI assigned
- Mar 21, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 21160 | CA | Primary |
Addresses
Primary practice location
100 UCLA Medical PLZ Ste 760
Los Angeles, CA 90024-6990
Mailing address
100 UCLA Medical Plaza Suite 760
Los Angeles, CA 90095-0001
Phone (310) 264-7246
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
- Credentials
- Nurse Practitioner, Registered Nurse
Interoperability endpoints
- ejenkins313526@direct.uclahealth.org
- erica.jenkins.2@18250.direct.athenahealth.com
- erica.jenkins.1@18743.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1174865729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 UCLA MEDICAL PLAZA SUITE 760",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-264-7246",
"fax_number": "310-882-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 UCLA MEDICAL PLZ STE 760",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900246990",
"telephone_number": "310-264-7246",
"fax_number": "310-882-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "ERICA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NP, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "21160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.