Jill Rea Jenkins, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

143826 Issued in TX

Practice address

20606 N Ih 35
West, TX 76691-1812

Phone

(469) 219-3142

NPI assigned

Feb 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jill R Jenkins Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1316447139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W HIGHLAND ST",
            "city": "WEST",
            "state": "TX",
            "postal_code": "766911118",
            "telephone_number": "254-218-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20606 N IH 35",
            "city": "WEST",
            "state": "TX",
            "postal_code": "766911812",
            "telephone_number": "469-219-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JILL",
        "middle_name": "REA",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "143826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "JENKINS",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "LVN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Valerie R Grimm
• Christi Lyn Harrington, LCSW
• Heart of Texas Therapeutic Riding Center, Inc.
• Latecia Renee Hubert, PTA
• Kristin A Immicke, MS, CCC-SLP
• Alyssa Lane Kee, LPC
• Maddison Camille Kettler
• Brent P Komlofske, ATC, LAT
• Ruth Kuloba, COTA
• Charity Martin, COTA

• Licensed Vocational Nurse in West, TX
• Providers in West, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.