Individual provider Active NPI

Kathya Anais Jimenez, FNP-C

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1528754868
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
279888 Issued in AZ
Practice address
603 N Wilmot Rd Ste 151
Tucson, AZ 85711-2701
Phone
(520) 420-2560
Fax
(520) 420-2562
NPI assigned
Apr 11, 2023
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 279888 AZ Primary

Addresses

Primary practice location

603 N Wilmot Rd Ste 151
Tucson, AZ 85711-2701

Mailing address

603 N Wilmot Rd Ste 151
Tucson, AZ 85711-2701
Phone (480) 415-0912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230512001360 AZ Practitioner - Nurse Practitioner 4486010667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TmconeGroup PAC ID 9234604877, 60 clinicians
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

603 N Wilmot Rd
Suite 151
Tucson, AZ 85711-2701
Phone (520) 420-2560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tmcone CurrentSince Feb 23, 2026 Accepting new patients
Arizona Oncology Associates PC CurrentSince May 3, 2023 Accepting new patients
TMC Medical Network CurrentSince Apr 1, 2025 Accepting new patients

Locations

1620 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 624-7445

1845 W Orange Grove Rd
Bldg 2
Tucson, AZ 85704
Phone (520) 531-8967

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

2625 N Craycroft Rd
Ste 221
Tucson, AZ 85712
Phone (520) 324-2462

603 N Wilmot Rd
#151
Tucson, AZ 85711
Phone (520) 519-7775

603 N Wilmot Rd
Ste 151
Tucson, AZ 85711
Phone (520) 420-2560

Interoperability endpoints

  • Direct secure messaging: kathya.jimenez@aoa.ikm.direct-ci.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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1528754868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N WILMOT RD STE 151",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112701",
            "telephone_number": "480-415-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N WILMOT RD STE 151",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112701",
            "telephone_number": "520-420-2560",
            "fax_number": "520-420-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "KATHYA",
        "middle_name": "ANAIS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "279888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.