Elizabeth Holland Jenkins

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

305 Mack Bayou Rd # 100
Santa Rosa Beach, FL 32459-7199

Phone

(850) 213-4595

NPI assigned

Jun 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1656201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656201600000",
    "number": "1699407098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MC DAVIS LOOP UNIT 5304",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596791",
            "telephone_number": "248-231-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MACK BAYOU RD # 100",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597199",
            "telephone_number": "850-213-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ELIZABETH",
        "middle_name": "HOLLAND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-26",
        "last_updated": "2022-06-26",
        "certification_date": "2022-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Lynn Humphries, DNP, ARPN, FNP-BC
• Robert L Ignasiak Jr., MD
• Imaging Institute LLC
• Inchargeclinic
• Baylee Jaynes
• John Boden MD LLC
• Ariel Johnson
• Erin D Johnson, NP-C
• Kayla Johnson
• Keri J Jones Matheus, W.H.N.P.

• Behavior Technician in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2022; 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.