Wilmarie Ivette Jimenez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA16342 Issued in FL

Practice address

505 W Oak St Ste 101
Kissimmee, FL 34741-4986

Phone

(407) 847-7344

NPI assigned

Aug 13, 2021

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

Electronic endpoints 1

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": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1871268581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W OAK ST STE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414986",
            "telephone_number": "407-847-7344",
            "fax_number": "407-483-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W OAK ST STE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414986",
            "telephone_number": "407-847-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "WILMARIE",
        "middle_name": "IVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smallsteps@cfl.rr.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "505 W Oak St Ste 101",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347414986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniella Carolina Jimenez, OTR/L
• Kenneth Jimenez, MD
• Mary Betsy Jimenez
• Nicole Jimenez, MD
• Rafael Jimenez, MD
• Zoar Jimenez, PTA
• Jimmy Nguyen OD PA
• JJ Care Transportation
• Jmendiola Billing Services
• JMJ Family Practice Inc

• Speech-Language Pathologist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.