Mirella Jimenez, CM61306007

Primary specialty

Health Information TechnicianTaxonomy code 247000000X

Practice address

3300 Roosevelt Ave
Yakima, WA 98902-6344

Phone

(509) 571-1455

NPI assigned

Aug 3, 2022

Last updated

Aug 3, 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1518694132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 ROOSEVELT AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026344",
            "telephone_number": "509-571-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 ROOSEVELT AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026344",
            "telephone_number": "509-571-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MIRELLA",
        "credential": "CM61306007",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910755984",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudea America Jimenez
• Elisia Jimenez
• Erik Jimenez
• Kenia E Jimenez
• Kristy Lee Jimenez, CB1201986
• Nya Jimenez
• Shelcy Isabel Jimenez
• Dustin Jindra
• Farah JN Baptiste
• Candy Crain Joachims

• Health Information Technician in Yakima, WA
• Providers in Yakima, WA by specialty
• Health Information Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.