Organization Active NPI

Jmaim DME PLLC

  • Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1215680376
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
JMAIM DME PLLC
Practice address
3755 S Gilbert Rd Ste 109
Gilbert, AZ 85297-2008
Phone
(480) 200-7455
NPI assigned
Jan 30, 2022
Organization subpart
Yes
Parent organization
JMA INTEGRATED MEDICINE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2022

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

Authorized official

Name
Jessica M. Abawi, FNP-CNPI 1952943235
Title
FNP-C, Owner
Phone
(480) 200-7455

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3755 S Gilbert Rd Ste 109
Gilbert, AZ 85297-2008

Mailing address

4637 E Reins Rd
Gilbert, AZ 85297-9515
Phone (480) 200-7455

Other names 1

  • JMA Integrated Medicine PLLC Other name

National Provider Directory

National Provider Directory
Part of
Jma Integrated Medicine PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1215680376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 E REINS RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979515",
            "telephone_number": "480-200-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 S GILBERT RD STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972008",
            "telephone_number": "480-200-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMAIM DME PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JMA INTEGRATED MEDICINE PLLC",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "ABAWI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "FNP-C, OWNER",
        "authorized_official_telephone_number": "480-200-7455",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JMA Integrated Medicine PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.