Vanessa Jacqueline Jimenez, ATC, LAT, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT6024 Issued in TX

Practice address

309 S Medford Dr
Lufkin, TX 75901-5245

Phone

(936) 632-7656

NPI assigned

Jul 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

State licenses

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1760036586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 COLLEGE DR APT 1014",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759017383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015245",
            "telephone_number": "936-632-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "VANESSA",
        "middle_name": "JACQUELINE",
        "credential": "ATC, LAT, CES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry H Jenkins, M.D.
• Jerry H. Jenkins, M.D., P.a.
• Jerry L Johnson MD PA
• Jerry L Spinks, MD, PA
• Robert Timothy Jewell, LPC, LCDC
• Dae Hyun Jin, RPH
• Corley Jobe, CCC, SLP
• Sydney Kayla Jobe, LCSW
• John a. Rudis, MD,PA
• Johnson & Johnson Investments, LLC

• Athletic Trainer in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Athletic Trainer in Texas

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