Individual provider Active NPI

Rosalinda R Jimenez, APRN

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1275969719
Registry record updated Dec 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP113416 Issued in TX
Practice address
301 40TH St
Lubbock, TX 79404-2746
Phone
(806) 743-9355
Fax
(806) 743-9363
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP113416 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP113416 TX

Addresses

Primary practice location

301 40TH St
Lubbock, TX 79404-2746

Mailing address

301 40TH St
Lubbock, TX 79404-2746
Phone (806) 743-9355

Other identifiers 1

IdentifierTypeStateIssuer
664136OtherTXLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CombestWellness@direct.myteamcare.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140206000625 TX Practitioner - Nurse Practitioner 8022247451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Tech University Health Sciences Center - Son - LubbockGroup PAC ID 9537158886, 30 clinicians

Practice addresses (Care Compare)

301 40TH St
Lubbock, TX 79404-2746
Phone (806) 743-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP113416TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center - Son - Lubbock CurrentSince Jan 1, 2014 Accepting new patients
Texas Tech University Health Sciences Center - Son - Lubbock Family CurrentSince Jan 1, 2014 Accepting new patients
Texas Tech University Health Sciences Center - Son - Lubbock Past Accepting new patients

Locations

6501 University Ave
Ste 600
Lubbock, TX 79413
Phone (806) 743-2424

301 40th St
Lubbock, TX 79404
Phone (806) 743-9355

Interoperability endpoints

  • Direct secure messaging: rosalinda.jimenez@direct.myteamcare.com

Organizations & group practices 4

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1275969719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 40TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794042746",
            "telephone_number": "806-743-9355",
            "fax_number": "806-743-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 40TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794042746",
            "telephone_number": "806-743-9355",
            "fax_number": "806-743-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ROSALINDA",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP113416",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP113416",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "664136",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CombestWellness@direct.myteamcare.com",
            "affiliation": "N",
            "endpointDescription": "Combest",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 40th St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794042746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.