Martha Judith Jimenez, APRN, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

35448 Issued in MT

Practice address

209 N 10TH St
Suite a
Hamilton, MT 59840-2357

Phone

(406) 532-9101

Fax

(406) 363-4498

NPI assigned

Apr 8, 2008

Last updated

Apr 8, 2008By the provider in NPPES

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

Other names 1

• Martha J Magallanes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Western Montana Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
  • NPI 1912079328

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1841463023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "T-9 FORT MISSOULA",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047202",
            "telephone_number": "406-532-8400",
            "fax_number": "406-543-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N 10TH ST",
            "address_2": "SUITE A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402357",
            "telephone_number": "406-532-9101",
            "fax_number": "406-363-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MARTHA",
        "middle_name": "JUDITH",
        "name_prefix": "Ms.",
        "credential": "APRN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "35448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "MAGALLANES",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chereese Lupeann Jennings, MS
• Allisun Garland Jensen, PA-C
• Emily M Jessop-Allred
• Crystallee Jessop
• Melissa Dawn Jessop, DPT
• Eli K Johnson, DDS
• Karen Jean Johnson
• Rose M Johnson, M.S., CCC/SLP
• Jessica Beth Johnston, PT, DPT
• Kristin Rene Joiner, LMT,NMT

• Psychiatric/Mental Health Nurse Practitioner in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.