Tammy Jimenez, RD, LD, IBCLC, CPM,

Primary specialty

MidwifeTaxonomy code 176B00000X

License

99311 Issued in TX

Practice address

5555 W. Twin Lakes Dr.
Tyler, TX 75704

Phone

(409) 382-7040

Fax

(903) 496-0361

NPI assigned

Jan 10, 2007

Last updated

Oct 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1710036454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 W TWIN LAKES DR.",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75704",
            "telephone_number": "409-382-7040",
            "fax_number": "903-496-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 W. TWIN LAKES DR.",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75704",
            "telephone_number": "409-382-7040",
            "fax_number": "903-496-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "TAMMY",
        "credential": "RD, LD, IBCLC, CPM,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07165",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99311",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": "L-17418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikkia Jiles, LCSW
• Rachel Jiles
• Tatjuana Rachell Jiles
• Jim McKinley, M.D., PLLC
• Madeline Jimenez-Torres, M. D.
• Tyresa Jimmerson
• JK7 Promisland, Inc.
• JKM Homecare (Brightstar Care of Tyler Longview)
• JMC Professional Surgical Associate, PLLC
• Melissa Jno Lewis

• Midwife in Tyler, TX
• Providers in Tyler, TX by specialty
• Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.