Active NPI
Chekesha Jimerson, BSN, RN, PHN
- Case Manager/Care Coordinator
- Ventura, CA
National Provider Identifier
1346490612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 696669
- Practice address
- 2125 Knoll Dr
Ventura, CA 93003-7329 - Phone
- (805) 654-7600
- NPI assigned
- Sep 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 696669 | CA | Primary |
Addresses
Primary practice location
2125 Knoll Dr
Ventura, CA 93003-7329
Mailing address
523 W Gainsborough Rd Apt 202
Thousand Oaks, CA 91360-2479
Phone (805) 777-1612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 696669 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1346490612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 W GAINSBOROUGH RD APT 202",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913602479",
"telephone_number": "805-777-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 KNOLL DR",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037329",
"telephone_number": "805-654-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMERSON",
"first_name": "CHEKESHA",
"name_prefix": "Ms.",
"credential": "BSN, RN, PHN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "696669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.