Leslie Fernanda Jimenez Terrazas

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

5213 W Vernon Ave
Phoenix, AZ 85035-1950

Phone

(602) 904-9185

NPI assigned

Sep 19, 2020

Last updated

Sep 19, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600473600000",
    "number": "1255947735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 W VERNON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351950",
            "telephone_number": "602-904-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 W VERNON AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351950",
            "telephone_number": "602-904-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ TERRAZAS",
        "first_name": "LESLIE",
        "middle_name": "FERNANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin Jim
• Rochelle Yvonne Jim, R.N.
• Sallie Jim, PA-C
• Jimac LLC (The Bridge Healthcare)
• Jessica Cristina Jimenez Ramirez, PHD
• Dennys Paola Jimenez-Hernandez, MD
• Elisabet Jimenez-Martinez
• Andrea Nathali Jimenez, LMSW
• Angel Star Jimenez, RN
• Brittney Kianna Jimenez

• Student in an Organized Health Care Education/Training Program in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Student in an Organized Health Care Education/Training Program in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; 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.