Individual provider Active NPI

Elizabeth Prezio Jenkins, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Austin, TX
National Provider Identifier
1497011738
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
H5180 Issued in TX
Practice address
101 Colorado St
#1108
Austin, TX 78701-4103
Phone
(214) 801-9843
Fax
(512) 428-5786
NPI assigned
Apr 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H5180 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X H5180 TX Primary

Addresses

Primary practice location

101 Colorado St
#1108
Austin, TX 78701-4103

Mailing address

101 Colorado St
#1108
Austin, TX 78701-4103
Phone (214) 801-9843

Other identifiers 2

IdentifierTypeStateIssuer
H5180OtherTXTEXAS MEDICAL BOARD
H0114221OtherTXTEXAS DEPARTMENT OF PUBLIC SAFETY

Other names 1

  • Dr. Elizabeth Anne Prezio Other name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H5180TXMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352678400000",
    "number": "1497011738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLORADO ST",
            "address_2": "#1108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787014103",
            "telephone_number": "214-801-9843",
            "fax_number": "512-428-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLORADO ST",
            "address_2": "#1108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787014103",
            "telephone_number": "214-801-9843",
            "fax_number": "512-428-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ELIZABETH",
        "middle_name": "PREZIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H5180",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "H5180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "H5180",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF PUBLIC SAFETY",
            "identifier": "H0114221",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PREZIO",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.