Individual provider Active NPI

Danielle Rene Jenkins, AUD

  • Audiologist
  • Englewood, CO
National Provider Identifier
1740954593
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1276 Issued in CO
Practice address
3601 S Clarkson St Ste 220
Englewood, CO 80113-3946
Phone
(303) 534-0163
Fax
(303) 534-0179
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 265 HI
Audiologist 231H00000X 31077 OR
Audiologist 231H00000X 81411 TX
Audiologist 231H00000X 1276 CO Primary

Addresses

Primary practice location

3601 S Clarkson St Ste 220
Englewood, CO 80113-3946

Mailing address

3601 S Clarkson St Ste 220
Englewood, CO 80113-3946
Phone (303) 534-0163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220907000901 TX Practitioner - Qualified Audiologist 6002290236 Reassigns benefits to 1 organization
I20240717005050 CO Practitioner - Qualified Audiologist 6002290236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Tinnitus and Hearing Center, Inc.Group PAC ID 8426227588, 3 clinicians

Practice addresses (Care Compare)

3601 S Clarkson St
Suite 220
Englewood, CO 80113-3946
Phone (303) 534-0163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1276COMDAcupuncturist
265HIMDAcupuncturist
31077ORMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Illuminear Tinnitus & Audiology Center Audiologist CurrentSince Aug 31, 2022 Accepting new patients
Colorado Tinnitus and Hearing Center, Inc. Audiologist CurrentSince Aug 15, 2024 Accepting new patients

Locations

3601 S Clarkson St
Ste 220
Englewood, CO 80113
Phone (303) 534-0163

711 W 38th St
Ste B14
Austin, TX 78705
Phone (512) 407-9215

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1740954593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST STE 220",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133946",
            "telephone_number": "303-534-0163",
            "fax_number": "303-534-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST STE 220",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133946",
            "telephone_number": "303-534-0163",
            "fax_number": "303-534-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DANIELLE",
        "middle_name": "RENE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "HI",
            "license": "265",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "31077",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81411",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "1276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.