Cristina Zulay Jimenez Campos

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

HM61091679 Issued in WA

Practice address

4515 148TH Ave NE Apt Jj103
Bellevue, WA 98007-3039

Phone

(425) 241-0113

NPI assigned

May 21, 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

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": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1912572967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 148TH AVE NE APT JJ103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073039",
            "telephone_number": "425-241-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 148TH AVE NE APT JJ103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073039",
            "telephone_number": "425-241-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ CAMPOS",
        "first_name": "CRISTINA",
        "middle_name": "ZULAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "HM61091679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jianjun Jiang
• Sharon Yiyang Jiang, M.D.
• Weiran Jiang
• Jie Deng, MD PLLC (Think Fertility)
• David Willem Jillson, MA
• Kimberly V Jimenez Garay
• Nicole Victoria Jimenez, DPT
• Pedro Jimenez
• Samantha Jimenez, PSY.D.
• Azalech Jimma, NURSE

• Adult Care Home Facility in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.