Individual provider Active NPI

Julie Anne Jimenez, AUD

  • Audiologist
  • Chester, PA
National Provider Identifier
1427732767
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006984 Issued in PA
Practice address
2112 Providence Ave
Chester, PA 19013-5507
Phone
(610) 600-1005
NPI assigned
Jun 14, 2023
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001933 VA
Audiologist-Hearing Aid Fitter 237600000X 2201001933 VA
Audiologist 231H00000X AT006984 PA Primary

Addresses

Primary practice location

2112 Providence Ave
Chester, PA 19013-5507

Mailing address

2112 Providence Ave
Chester, PA 19013-5507
Phone (240) 423-6592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002003477 PA Practitioner - Qualified Audiologist 8022478684 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Ear Nose and Throat Associates IncGroup PAC ID 1456349497, 12 clinicians

Practice addresses (Care Compare)

2112 Providence Ave
Chester, PA 19013-5507
Phone (610) 874-5366

Merit-based Incentive Payment System (MIPS)

Final score
80.66 of 100Reported as group
Quality
71.67
Improvement activities
40
Cost
73.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006984PAMDAudiologist
2201001933VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Hearing Aid Center Audiologist CurrentSince Sep 9, 2024 Accepting new patients
Providence Ear Nose & Throat Associates Inc CurrentSince Sep 9, 2024 Accepting new patients
Pinnacle ENT Alliance LLC CurrentSince Oct 5, 2025 Accepting new patients

Locations

2112 Providence Ave
Chester, PA 19013
Phone (610) 600-1005

500 Evergreen Dr
Ste 18
Glen Mills, PA 19342
Phone (610) 459-3495

301 W Chester Pike
Ste 101
Havertown, PA 19083
Phone (610) 446-6900

1098 W Baltimore Pike
Ste 3406
Media, PA 19063
Phone (610) 600-1005

Interoperability endpoints

  • Direct secure messaging: jjimenez@providenceent.medentdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1427732767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135507",
            "telephone_number": "240-423-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135507",
            "telephone_number": "610-600-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001933",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2201001933",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.