Adam Joseph Jimenez, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

977865 Issued in TX

Practice address

24314 Gold Cheyenne Way
Katy, TX 77493-3912

Phone

(281) 610-6879

NPI assigned

Sep 8, 2021

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1023787694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24314 GOLD CHEYENNE WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933912",
            "telephone_number": "281-610-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24314 GOLD CHEYENNE WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933912",
            "telephone_number": "281-610-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ADAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "977865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preeti Jha
• Yuanyuan Jiang, PTA
• Lois Alethea Jiboyewa
• Hina A Jilani, RBT
• Jhoanie Jimenez-Romero, LPC
• Caroline Jimenez
• Christian Jimenez
• Esther Max Jimenez, MFC/T, LPC, EMDR
• Jaelyn Jimenez
• Juliana Jimenez

• Critical Care Medicine Registered Nurse in Katy, TX
• Providers in Katy, TX by specialty
• Critical Care Medicine Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.