Marianitata Jimenez

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201906549RN Issued in OR

Practice address

5166 SW Meadow Flower Dr
Corvallis, OR 97333-1186

Phone

(541) 730-2303

NPI assigned

Jul 29, 2019

Last updated

Jul 29, 2019By the provider in NPPES

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": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1215581269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 E GRANT ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973554400",
            "telephone_number": "541-730-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5166 SW MEADOW FLOWER DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331186",
            "telephone_number": "541-730-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MARIANITATA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201906549RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Alan Jett
• Winter Shoko Jett
• Maxwell R Jiganti, DO
• Daniel A Jimenez
• Luis Villa Jimenez, LPN
• Joan Clapper OT Inc (Movementwise Movement Education)
• Ryan E Johanson, MD
• John S. Bugni DMD, PC
• Ash Elizabeth Johnsdottir, CPM LDM
• Adam Johnson, CADC II

• Registered Nurse in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.