Jennifer R Stalkup MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

M1368 Issued in TX

Legal business name

JENNIFER R STALKUP MD PA

Practice address

6100 Windhaven Pkwy
Plano, TX 75093-8046

Phone

(972) 608-0330

Fax

(214) 615-1800

NPI assigned

Feb 5, 2014

Last updated

Feb 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Stalkup, MDNPI 1548297278

Title

President

Phone

(972) 608-0330

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Jennifer R Stalkup, M.D.

  • Dermatology Physician
  • Plano, TX
  • NPI 1548297278
  NPD Authorized official
• Leslie Hornberger, P.A.

  • Medical Physician Assistant
  • McKinney, TX
  • NPI 1679870356
  NPD (past)
• Sheree Patel, PA-C

  • Medical Physician Assistant
  • Plano, TX
  • NPI 1952623696
  NPD (past)
• Brooke Mohr Renkes, M.D.

  • Dermatology Physician
  • Plano, TX
  • NPI 1699119610
  NPD (past)

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1245654664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 WINDHAVEN PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938046",
            "telephone_number": "972-608-0330",
            "fax_number": "214-615-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WINDHAVEN PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938046",
            "telephone_number": "972-608-0330",
            "fax_number": "214-615-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER R STALKUP MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "STALKUP",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-608-0330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "M1368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna M Jenkins, LPC
• Jennifer Erin Jenkins, LPC
• Kayla Jenkins, BCBA
• Lorraine M Jenkins
• Jennifer Orbegoso Attmore Mdpa
• Jenny Fan, OD PA
• Anne Jensen-Smith, LPC
• James Dean Jensen, DDS, MS, PA
• Karen Jensen
• Kyle Wesley Jensen, D.C.

• Specialist in Plano, TX
• Providers in Plano, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.