Meredith Jimeno, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0880 Issued in NH

Practice address

390 Broad St
Nashua, NH 03063-3040

Phone

(603) 966-1880

NPI assigned

Dec 14, 2020

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2020.

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1952997009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 BROAD ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633040",
            "telephone_number": "603-966-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 BROAD ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633040",
            "telephone_number": "603-966-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENO",
        "first_name": "MEREDITH",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "0880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ekberg OT LLC
• Tricia Renee Jette-Gonthier, APRN
• Heather Jewett
• Carmen Jimenez
• Luis R Jimenez, MD
• Sophia Jin, CRNA
• Rachel Johansen, BSW
• John Diune, D.D.S.
• Amjed John
• Isabel M John

• All providers in Nashua, NH
• Speech-Language Pathologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.