Maria Tranquilina Jimenez, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP136347 Issued in TX

Practice address

4206 S Interstate 35 E
Denton, TX 76207

Phone

(940) 382-6900

Fax

(940) 382-1005

NPI assigned

Feb 22, 2018

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124529490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 CHURCHILL DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762091344",
            "telephone_number": "940-595-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 S INTERSTATE 35 E",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76207",
            "telephone_number": "940-382-6900",
            "fax_number": "940-382-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Churchill Dr",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762091344",
            "country_code": "US",
            "telephone_number": "940-595-3175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MARIA",
        "middle_name": "TRANQUILINA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome P. Lisk, M.D., Inc.
• Jerry Petty Counseling PLLC
• Jason Christopher Jessup, PT, MS
• Meredith Ashley Jessup, LCSW
• Jesline Sara Jestine, APRN; FNP-C
• Shauna Marie Jimenez, LSA
• Jinny Yoon MD PA
• Jitendra N Bhatt, MD, PA
• Jo Anne Nowick Oliver, PA
• Betty Ann Johansen, RN,C,FNP

• Family Nurse Practitioner in Denton, TX
• Providers in Denton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.