NPIMap

Organization Active NPI

Elizabeth Jenkins

  • Speech-Language Pathologist
  • Kingston, TN
National Provider Identifier
1194158204
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
ELIZABETH JENKINS
Practice address
127 S Kentucky St
Kingston, TN 37763-2746
Phone
(865) 705-8688
Fax
(865) 285-9411
NPI assigned
Aug 12, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Elizabeth JenkinsNPI 1336564897
Title
Speech Language Pathologist
Phone
(865) 661-5380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0 TN Primary

Addresses

Primary practice location

127 S Kentucky St
Kingston, TN 37763-2746

Mailing address

404 Coffee LN
Loudon, TN 37774-6612
Phone (865) 661-5380

Other identifiers 1

IdentifierTypeStateIssuer
1194158204OtherTNTN CARE, UNITED HEALTH CARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194158204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 COFFEE LN",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377746612",
            "telephone_number": "865-661-5380",
            "fax_number": "865-285-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S KENTUCKY ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632746",
            "telephone_number": "865-705-8688",
            "fax_number": "865-285-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH JENKINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "865-661-5380"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN CARE, UNITED HEALTH CARE",
            "identifier": "1194158204",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.