Active NPI
Karen E Jenkins, MD
- Emergency Medicine Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 236107
- Practice address
- 1800 SE Tiffany Avenue
St. Lucie Medical Center
Port St. Lucie, FL 34952 - Phone
- (772) 335-4000
- NPI assigned
- May 18, 2006
- Last updated
- Dec 17, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 236107 | NY | Primary |
Addresses
Primary practice location
1800 SE Tiffany Avenue
St. Lucie Medical Center
Port St. Lucie, FL 34952
Mailing address
555 SW Nautical Ave
Port St Lucie, FL 34984-3515
Phone (772) 879-6175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236107 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Gulfstream Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| FL-I Medical Services, LLC | Past | Accepting new patients | |
| Hillmoor ER SVCS Partnership | Emergency Medicine | Past | Accepting new patients |
Locations
651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-2369
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA
-
- Physician Assistant
- Margate, FL
- NPI 1780959643
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1447428438
-
- Emergency Medicine Physician
- Port St Lucie, FL
- NPI 1962451930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1497708507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 SW NAUTICAL AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349843515",
"telephone_number": "772-879-6175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SE TIFFANY AVENUE",
"address_2": "ST. LUCIE MEDICAL CENTER",
"city": "PORT ST. LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "772-335-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "KAREN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "236107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.