Marissa Jimenez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1505 Calle del Norte Dr #440,
Laredo, TX 78041

Phone

(956) 722-6221

NPI assigned

Jun 16, 2014

Last updated

Jun 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pyra Med Health Services, LLC

  dba Aveanna Heatlhcare

  • Home Health Agency
  • Laredo, TX
  • NPI 1447584032
  NPD (past)

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1417361783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 PLACITA DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 CALLE DEL NORTE DR #440,",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "956-722-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MARISSA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus S Pineda M.D.P.a.
• Jesus Jimenez Sanchez, NP
• Anna Alicia Jimenez, WHNP
• Eduardo Jimenez
• Marissa Jimenez, MSN, FNP-C
• Martha Jimenez, BS, LCDC
• Victor Francisco Jimenez Jr.
• JLG Health Group, LLC (United Home Health)
• Joann Shin DDS (Hollywood Dental)
• Joann Shin DDS Corporation (Laredo Family Dental)

• Speech-Language Pathologist in Laredo, TX
• Providers in Laredo, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.