Individual provider Active NPI

Tiffany J Catinchi Jimenez, DC

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1124853338
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15161 Issued in FL
Practice address
3108 Del Prado Blvd S Ste 6
Cape Coral, FL 33904-7226
Phone
(239) 541-8772
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15161 FL Primary

Addresses

Primary practice location

3108 Del Prado Blvd S Ste 6
Cape Coral, FL 33904-7226

Mailing address

3108 Del Prado Blvd S Ste 6
Cape Coral, FL 33904-7226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911003671 FL Practitioner - Chiropractic 1557801990 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmercare Chiropractic Fort Myers LLC Chiropractor CurrentSince Aug 13, 2023 Accepting new patients
Palmercare Chiropractic Cape Coral LLC Chiropractor CurrentSince Sep 16, 2024 Accepting new patients

Locations

3108 Del Prado Blvd S
Ste 6
Cape Coral, FL 33904
Phone (230) 549-6262

9720 Commerce Center Ct
Fort Myers, FL 33908
Phone (239) 549-6262

9720 Commerce Center Ct
Ste 1
Fort Myers, FL 33908
Phone (239) 549-6262

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1124853338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 DEL PRADO BLVD S STE 6",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 DEL PRADO BLVD S STE 6",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047226",
            "telephone_number": "239-541-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATINCHI JIMENEZ",
        "first_name": "TIFFANY",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.