Alexis Jimenez-Davila, FNP-BC, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP121448 Issued in TX

Practice address

5364 Fredericksburg Rd
BLDG D Ste 100
San Antonio, TX 78229-6188

Phone

(210) 447-4333

Fax

(210) 447-4330

NPI assigned

Feb 1, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Premier Interventional Pain Management, P.L.L.C

  • Interventional Pain Medicine Physician
  • Flower Mound, TX
  • NPI 1134453129
  Medicare reassignment NPD
• Premier Interventional Pain Management, P.L.L.C

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1982178794
  NPD
• Pipm Sub B, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • San Antonio, TX
  • NPI 1609385632
  NPD (past)

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1265704555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782982208",
            "telephone_number": "210-546-1400",
            "fax_number": "210-546-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5364 FREDERICKSBURG RD",
            "address_2": "BLDG D STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296188",
            "telephone_number": "210-447-4333",
            "fax_number": "210-447-4330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7003 S New Braunfels Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782234589",
            "country_code": "US",
            "telephone_number": "210-441-4333",
            "fax_number": "210-441-4330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ-DAVILA",
        "first_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "746303",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP121448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB157327",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3048597-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina C Jimarez, LPC
• Abigail Jimenez Castellano, RBT-23-296315
• Roxana Jimenez Garcia, PA-C
• Jimenez Physical Therapy, P.L.L.C.
• Jimenez Senior Care Inc
• Lesley Jimenez-Diaz
• Elena Jimenez-Gutierrez, M.D.
• Janie E Jimenez-Perez, BCBA, LBA
• Jessica Jimenez-Wilson, CNM
• Adriana Jimenez

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, 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 Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.