Graciela Jimenez-Martinez, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71008159A Issued in IN

Practice address

1217 W Plymouth St
Bremen, IN 46506-1930

Phone

(574) 546-0654

Fax

(888) 815-1434

NPI assigned

Jul 25, 2018

Last updated

Nov 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFFDCD/Endpoint/CFFDCD

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.

• Michiana Concierge Family Medicine

  • Family Medicine Physician
  • Bremen, IN
  • NPI 1346958998

  Registered Nurse

  NPD Authorized official

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668816000000",
    "number": "1447737002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N MONTGOMERY ST",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "465061156",
            "telephone_number": "574-209-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 W PLYMOUTH ST",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "465061930",
            "telephone_number": "574-546-0654",
            "fax_number": "888-815-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ-MARTINEZ",
        "first_name": "GRACIELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2022-11-19",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28192998A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008159A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearing Diagnostics Center
• Hook-Superx LLC (CVS Pharmacy #06468)
• Stacey Kim Hummel, PTA
• Alyssa Ingle, DNP, APRN, FNP-BC
• Jackson County Schneck Memorial Hospital (Signature Healthcare of Bremen)
• Kevin R Hickman (Bremen Family Eyecare)
• Robert Blaine Kolbe Jr., MD
• Jessica Lyn Laorden, MD
• John Robert Larson, M.D.
• Amber Lawmaster, LMHC

• Family Nurse Practitioner in Bremen, IN
• Providers in Bremen, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2022; 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.