Osbelia Jimenez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

560278 Issued in NY

Practice address

112 Kimball Ave
Penn Yan, NY 14527-1816

Phone

(315) 536-2752

Fax

(315) 536-4005

NPI assigned

Oct 6, 2015

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1992175772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAIDEN LN",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271208",
            "telephone_number": "315-531-9102",
            "fax_number": "315-531-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 KIMBALL AVE",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271816",
            "telephone_number": "315-536-2752",
            "fax_number": "315-536-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "OSBELIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "560278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "560278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerianne Humphrey, DPT
• Brandon J Jackel, NP
• James L Coles LCSW, PC
• Rose A Jensen, R.N., MS
• Janis Michele Jepsen, SPECIAL EDUCATION TE
• Danielle Johnson, RN
• Ashley M Jones
• Barbara Jean Kelly-Kinney, PT
• Keuka Health Care Associates, P.C.
• Keuka Taxi LLC

• Registered Nurse in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.