Kristina Jimenez, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

273492 Issued in CA

Practice address

12193 Custer St
Yucaipa, CA 92399-4485

Phone

(951) 756-6756

NPI assigned

Sep 13, 2018

Last updated

Sep 13, 2018By the provider in NPPES

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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1891278966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 N 41ST ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203408",
            "telephone_number": "951-756-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12193 CUSTER ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994485",
            "telephone_number": "951-756-6756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12193 Custer St",
            "address_purpose": "LOCATION",
            "city": "Yucaipa",
            "state": "CA",
            "postal_code": "923994485",
            "country_code": "US",
            "telephone_number": "951-756-6756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "KRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "273492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E. Jarrett, D.C.
• Jasleen Singh MD Professional (Apna Health)
• Jeff T. Grange, MD (Grange Emergency Medical Services)
• Brett David Jeffries, PHARMD
• James Kevin Jetton, DDS
• Peter Nicholas Jimenez, D.D.S
• Mustapha John
• Dana Leah Johnson
• Mariah Johnson
• Michael A Johnson

• Licensed Vocational Nurse in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.