Roxana Jimenez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

469898 Issued in OH

Practice address

597 Killian Rd
Coventry Township, OH 44319-2525

Phone

(617) 970-0536

NPI assigned

Mar 3, 2025

Last updated

Jun 8, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCCEDD/Endpoint/BCCEDD

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.

• Cleveland Medical Management LLC

  • Nephrology Physician
  • Lebanon, OH
  • NPI 1730929464
  Medicare reassignment

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1003613506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 KILLIAN RD",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443192525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 KILLIAN RD",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443192525",
            "telephone_number": "617-970-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ROXANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "469898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Lynn Hershberger
• Brandi Hoffman-Westfall
• Christopher Gary Ilijevich, BSN, RN
• Integrated Medicine of Ohio LLC
• Kerry Maureen Jeric, LPCC, CDCA
• Eslie Thomas Johnson, PRS, CDCA
• Nicole Marie Kavali, RN
• Laura Kidd, MA ED., LPCC/LICDC
• Luke Robert Kidd
• KJC Legacy LLC (Better Together Hospice)

• Family Nurse Practitioner in Coventry Township, OH
• Providers in Coventry Township, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.
• 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.