Eliana Victoria Jimenez, AGACNP
Individual provider Active NPI Gerontology Nurse Practitioner · Webster, TX
NPI 1013550573 · NPPES record last updated Jul 25, 2024
Key facts
- NPI
- 1013550573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- AP140903 (TX)
- Practice address
- 500 W Medical Center Blvd
Webster, TX 77598-4220 - Phone
- (281) 332-2511
- NPI assigned
- Oct 28, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Medicine Services of TX, PLLC
Practice addresses (Care Compare)
12141 Richmond Ave
Houston, TX 77082-2408
Phone (281) 558-3444
4000 Spencer Hwy
Pasadena, TX 77504-1202
Phone (713) 359-2000
7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000
Hospital & facility affiliations
- HCA Houston Healthcare Southeast
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200304001255 | TX | Practitioner - Nurse Practitioner | 6002243086 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP140903 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of TX, PLLC | Current |
Accepting new patients | |
| Bay Area Internal Medicine Care PLLC | Current |
Accepting new patients | |
| Lung Center Associates | Current |
Accepting new patients | |
| Clear Lake Internal Medicine Care PA | Past | Accepting new patients |
Locations
12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444
411 Alabama Ave
League City, TX 77573
Phone (281) 332-9588
5020 Space Center Blvd
Pasadena, TX 77505
Phone (713) 575-1800
4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000
4003 Woodlawn Ave
Pasadena, TX 77504
Phone (713) 941-0088
3400 E Walnut St
Pearland, TX 77581
Phone (281) 485-2776
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650
Interoperability endpoints
- https://api.platform.athenahealth.com/5911/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP140903 | TX | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | AP140903 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | AP140903 | TX | Yes |
Addresses
Primary practice location
500 W Medical Center Blvd
Webster, TX 77598-4220
Mailing address
500 W Medical Center Blvd
Webster, TX 77598-4220
Phone (281) 332-2511
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ELIANA.JIMENEZ@hca2.eclinicaldirectplus.com |
Other providers in Webster, TX
- Omar Mohamed Jeroudi
- Ruth Candy Diomampo Jetty
- Ann Jewett
- JGPT,LLC
- Forum P Jhonsa
- JJCG Enterprises PLLC
- JNCN Holdings LLC
- Joel M Berman MD PA
- Vikas Jogi
- Dara Ann Johanson
All providers in Webster, TX · Gerontology Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.