Mary Jimenez, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP034213 Issued in AZ

Practice address

2240 Winrow Ave
USA Meddac,Rwbahc
Fort Huachuca, AZ 85613

Phone

(520) 533-9033

NPI assigned

Oct 27, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1669924445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E CAMINO DE MANANA",
            "city": "HUACHUCA CITY",
            "state": "AZ",
            "postal_code": "856168137",
            "telephone_number": "520-559-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 WINROW AVE",
            "address_2": "USA MEDDAC,RWBAHC",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "85613",
            "telephone_number": "520-533-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MARY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP034213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Hopkins, RN
• Cassandra M Howe, OT
• Brendan Proctor Jamerson, OTD, OTR/L
• Adam A James
• John Irwin James, RN BSN
• Melissa Jones
• Ronald J Jones
• Michael Wayne Karr, RPH
• Joseph Francis Kasper, MD
• Robert Lee Kent Jr., RN

• Licensed Practical Nurse in Fort Huachuca, AZ
• Providers in Fort Huachuca, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.