Juan M Jimenez

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

529 W 6TH St
Port Angeles, WA 98362-5805

Phone

(940) 627-6918

NPI assigned

Aug 13, 2019

Sex

Male

Sole proprietor

Yes

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1376199760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 WEST 6TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983625805",
            "telephone_number": "360-643-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 W 6TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983625805",
            "telephone_number": "940-627-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JUAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Jennings, ARNP, FNP-BC
• Michael Thomas Jennings, M.D.
• Brittney Jensen, LMHC, LPC
• Jerry M Payne D.C., Inc
• David Jevne
• Susana Jimenez, LMT
• William Joesel, HS
• John P Huard OD PLLC
• Sarah John, PT
• Laurie Lee Johnson Driese, CNM

• Assistant Behavior Analyst in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Assistant Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.