Active NPI
Haylee Jenkins
- Speech-Language Pathologist
- Durham, NC
National Provider Identifier
1235637984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12542
- Practice address
- 3611 University Dr Apt 5N
Durham, NC 27707-6211 - Phone
- (541) 490-9116
- NPI assigned
- Jan 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12542 | NC | Primary |
Addresses
Primary practice location
3611 University Dr Apt 5N
Durham, NC 27707-6211
Mailing address
3611 University Dr Apt 5N
Durham, NC 27707-6211
Phone (425) 330-9685
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12542 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1235637984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 UNIVERSITY DR APT 5N",
"city": "DURHAM",
"state": "NC",
"postal_code": "277076211",
"telephone_number": "425-330-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 UNIVERSITY DR APT 5N",
"city": "DURHAM",
"state": "NC",
"postal_code": "277076211",
"telephone_number": "541-490-9116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "HAYLEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-29",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "12542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.