Active NPI
Julie Anne Jimenez, AUD
- Audiologist
- Chester, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006984
- Practice address
- 2112 Providence Ave
Chester, PA 19013-5507 - Phone
- (610) 600-1005
- NPI assigned
- Jun 14, 2023
- Last updated
- Sep 9, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 71.67
- Improvement activities
- 40
- Cost
- 73.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006984 | PA | MD | Audiologist |
| 2201001933 | VA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Hearing Aid Center | Audiologist | Current | Accepting new patients |
| Providence Ear Nose & Throat Associates Inc | Current | Accepting new patients | |
| Pinnacle ENT Alliance LLC | Current | 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
- 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.
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- NPI 1366523904
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- Wayne, PA
- NPI 1538230313
-
- Audiologist
- Chester, PA
- NPI 1205093630
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.