Individual provider Active NPI

Timothy Cemc Pimentel, RN, CNOR, RNFA

  • Registered Nurse First Assistant
  • Klamath Falls, OR
National Provider Identifier
1821388745
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
200641523RN Issued in OR
Practice address
10203 Merlin Way
Klamath Falls, OR 97601-8691
Phone
(541) 892-0981
NPI assigned
Apr 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 200641523RN OR Primary

Addresses

Primary practice location

10203 Merlin Way
Klamath Falls, OR 97601-8691

Mailing address

10203 Merlin Way
Klamath Falls, OR 97601-8691
Phone (541) 892-0981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
200641523RNORMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical First Assisting, LLC Registered Nurse First Assistant Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1821388745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10203 MERLIN WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976018691",
            "telephone_number": "541-892-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10203 MERLIN WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976018691",
            "telephone_number": "541-892-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "TIMOTHY",
        "middle_name": "CEMC",
        "name_prefix": "Mr.",
        "credential": "RN, CNOR, RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "OR",
            "license": "200641523RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.