Viviana S Jimenez Decruz

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

6431 W Sahara Ave Ste 200
Las Vegas, NV 89146-3064

Phone

(702) 871-0002

Fax

(702) 871-0201

NPI assigned

Oct 30, 2019

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1710521075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 GLENFIELD CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296547",
            "telephone_number": "702-472-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 W SAHARA AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463064",
            "telephone_number": "702-871-0002",
            "fax_number": "702-871-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ DECRUZ",
        "first_name": "VIVIANA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurelia Del Maria Jimenez Cordova
• Raquel Jimenez de Contreras
• Marisol Jimenez de la Cruz
• Irene Jimenez de Pamats
• Imelda Jimenez de Ruiz
• Yanet Jimenez Fuentes
• Diana Elizabeth Jimenez Gaona
• Ma Esther Jimenez Garcia
• Yuniseidis Jimenez Llacer
• Libier Jimenez Lopez

• Personal Care Attendant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.