Organization Active NPI

Lisa Jimenez Pmhnp PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Astoria, OR
National Provider Identifier
1063352722
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LISA JIMENEZ PMHNP PLLC
Practice address
3930 Abbey LN Unit 409
Astoria, OR 97103-2239
Phone
(661) 348-6888
Fax
(800) 878-9869
NPI assigned
Mar 31, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Lisa Ann Jimenez, PMHNPNPI 1811887573
Title
Provider
Phone
(661) 348-6888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

3930 Abbey LN Unit 409
Astoria, OR 97103-2239

Mailing address

3930 Abbey LN Unit 409
Astoria, OR 97103-2239
Phone (661) 348-6888

Other practice location 1

2428 W Reynolds Ave
Centralia, WA 98531-4554
Phone (661) 348-6888

National Provider Directory

National Provider Directory

Locations

522 W Riverside Ave
#7941
Spokane, WA 99201
Phone (509) 240-9688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1063352722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 ABBEY LN UNIT 409",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971032239",
            "telephone_number": "661-348-6888",
            "fax_number": "800-878-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 ABBEY LN UNIT 409",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971032239",
            "telephone_number": "661-348-6888",
            "fax_number": "800-878-9869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2428 W Reynolds Ave",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985314554",
            "country_code": "US",
            "telephone_number": "661-348-6888",
            "fax_number": "800-878-9869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LISA JIMENEZ PMHNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "661-348-6888",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.