Jeffeny Jimenez Rubio

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN262513 Issued in GA

Practice address

4961 Buford Hwy Ste 201
Chamblee, GA 30341-3536

Phone

(470) 509-4648

NPI assigned

Apr 1, 2021

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Baybol Pediatrics LLC

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1760858252
  NPD (past)

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1609454271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 OAKMOOR CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432364",
            "telephone_number": "678-907-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4961 BUFORD HWY STE 201",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413536",
            "telephone_number": "470-509-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ RUBIO",
        "first_name": "JEFFENY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN262513",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN262513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharae Isom, RBT
• Chasity Jackson
• Robyn James
• Taylor J James, PT, DPT
• Madeline Jessup
• Remy Johanson-Murray, MS, NCC
• Alexi Johnson, APC
• Ethney Letetia Johnson, REGISTERED NURSE
• Fallon Johnson
• Katurah Latavia Johnson

• Pediatric Nurse Practitioner in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.