Active NPI
Gianna Jimenez, PA
- Physician Assistant
- Dedham, MA
National Provider Identifier
1508355702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA6546
- Practice address
- 719 Providence Hwy
Dedham, MA 02026-6832 - Phone
- (508) 771-8350
- NPI assigned
- May 3, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA6546 | MA | Primary |
Addresses
Primary practice location
719 Providence Hwy
Dedham, MA 02026-6832
Mailing address
PO Box 716
West Barnstable, MA 02668-0716
Phone (774) 994-2861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Affiliates of Cape Cod, Inc. | Pediatrics | Current | Accepting new patients |
| PM Pediatrics of Bayside PLLC | Past | Accepting new patients | |
| PM Pediatrics PC | Pediatrics | Past | Accepting new patients |
| PM Pediatrics of Mamaroneck | Past | Accepting new patients | |
| PM Pediatrics of New England LLC | Pediatrics | Past | Accepting new patients |
| PM Pediatrics of New England LLC | Pediatrics | Past | Accepting new patients |
| PM Pediatrics of New England LLC | Pediatrics | Past | Accepting new patients |
| PM Pediatrics of New England LLC | Past | Accepting new patients |
Locations
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
150 Ansel Hallet Rd
West Yarmouth, MA 02673
Phone (508) 771-8350
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1770534927
Pediatrics
-
- Urgent Care Clinic/Center
- Saugus, MA
- NPI 1477378123
-
- Urgent Care Clinic/Center
- Nanuet, NY
- NPI 1861823197
-
- Urgent Care Clinic/Center
- Mamaroneck, NY
- NPI 1073645180
-
- Pediatrics Physician
- Dedham, NY
- NPI 1851828107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1508355702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 716",
"city": "WEST BARNSTABLE",
"state": "MA",
"postal_code": "026680716",
"telephone_number": "774-994-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 PROVIDENCE HWY",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020266832",
"telephone_number": "508-771-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "GIANNA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-03",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA6546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.