Individual provider Active NPI

Erica Marie Jenkins, NP, RN

  • Gerontology Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1174865729
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
21160 Issued in CA
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

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

  • Direct secure messaging: ejenkins313526@direct.uclahealth.org
  • Direct secure messaging: erica.jenkins.2@18250.direct.athenahealth.com
  • Direct secure messaging: 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.

Verify at the official NPI Registry.