JIMETRA WEST (NPI# 1043771777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043771777 |
| Entity Type | Individual |
| Full Name | JIMETRA WEST |
| Practice Address |
1449 Morgana Rd Jacksonville FL 32211-4910 |
| Practice Telephone | 9046771213 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CL1276269 | FL | Suppliers |
| Street Address |
1449 MORGANA RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32211-4910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1922656370 | Timothy Richard Barron | Behavior Technician | 5633 Clifton Ln, Jacksonville, FL 32211 | 2019-08-29 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1780160192 | Ganesh Healthcare of Jax LLC | Alzheimer Center (Dementia Center) | 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 | 2018-07-18 |
| 1902397276 | Chandra Harris Washington | In Home Supportive Care | 2712 Gaillardia Rd, Jacksonville, FL 32211 | 2018-05-22 |
| 1043730062 | Monica R Iskander | Dentist | 465 University Blvd N, Jacksonville, FL 32211 | 2017-06-21 |
| 1205366895 | Lilibeth Bundang Adona | Custodial Care Facility | 1818 Townsend Blvd, Jacksonville, FL 32211 | 2017-06-15 |
| Find all providers in zip 32211 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367837 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 1300 Riverplace Blvd Ste 100, Jacksonville, FL 32207-1815 | 2020-02-11 |
| 1952955627 | B Jazzy Salon Inc | Prosthetic/Orthotic Supplier | 5116 Gate Pkwy Apt 5111, Jacksonville, FL 32256-0265 | 2019-07-30 |
| 1144769092 | Nupath Medical LLC | Prosthetic/Orthotic Supplier | 11244 Turnbridge Dr, Jacksonville, FL 32256-2342 | 2017-02-13 |
| 1700287018 | Janet Johnson | Prosthetic/Orthotic Supplier | 3132 Beach Blvd, Jacksonville, FL 32207-3710 | 2014-09-07 |
| 1043619166 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 4835 Town Crossing Drive, Jacksonville, FL 32246-8577 | 2014-08-14 |
| 1053679365 | Jean T. Proulx | Prosthetic/Orthotic Supplier | 3132 Beach Boulevard, Jacksonville, FL 32207-3710 | 2012-04-25 |
| 1023309572 | Bremer Brace of Florida, Inc. | Prosthetic/Orthotic Supplier | 4131 University Blvd S Ste 16, Jacksonville, FL 32216-4346 | 2011-05-02 |
| 1720227465 | Kathleen Elizabeth Brockway | Prosthetic/Orthotic Supplier | 13740 Beach Blvd Ste 404, Jacksonville, FL 32224-6036 | 2009-02-19 |
| 1760637599 | Brandis Wig Salon | Prosthetic/Orthotic Supplier | 7275 103rd St, Jacksonville, FL 32210 | 2008-11-20 |
| 1770778193 | Adaptive Technologies, LLC | Prosthetic/Orthotic Supplier | 2680 Henderson Drive, Suite 314, Jacksonville, NC 28546 | 2007-09-10 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32211 |
Please comment or provide details below to improve the information on JIMETRA WEST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.