Active NPI
Patricia E Jenkins
- Speech-Language Assistant
- Richardson, TX
National Provider Identifier
1306970306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 32484
- Practice address
- 1901 N Glenville Dr
Suite 800
Richardson, TX 75081-7207 - Phone
- (972) 238-9916
- NPI assigned
- Mar 14, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 32484 | TX | Primary |
Addresses
Primary practice location
1901 N Glenville Dr
Suite 800
Richardson, TX 75081-7207
Mailing address
15935 Bent Tree Forest Cir
#2076
Dallas, TX 75248-3406
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 |
|---|---|---|---|
| 32484 | TX | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306970306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15935 BENT TREE FOREST CIR",
"address_2": "#2076",
"city": "DALLAS",
"state": "TX",
"postal_code": "752483406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N GLENVILLE DR",
"address_2": "SUITE 800",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750817207",
"telephone_number": "972-238-9916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "PATRICIA",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "32484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.