Ania Jimenez Martin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11033251 Issued in FL

Practice address

4982 Palm Ave
Hialeah, FL 33012-3726

Phone

(305) 479-3262

NPI assigned

Jun 7, 2024

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• KCM Health Care Inc

  • Psychiatry Physician
  • Hialeah, FL
  • NPI 1881397719
  NPD

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1508608019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 NW 170TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154655",
            "telephone_number": "786-631-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4982 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123726",
            "telephone_number": "305-479-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ MARTIN",
        "first_name": "ANIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Lino Jimenez Barredo, MD
• Nathalie Jimenez Betancourt, APRN
• Yanelis Jimenez Cabrera, RBT-23-308071
• Johan Mary Jimenez Casals, ARNP
• Maria Antonia Jimenez Davila
• Magaly Jimenez Martinez
• Kevin Jimenez Meneses
• Yoanka Jimenez Orosa
• Zulema Jimenez Ortiz
• Isel Jimenez Pedroso

• All providers in Hialeah, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.

Verify at the official NPI Registry.