DR. RANDI MARIE JIMENEZ (NPI# 1396979365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396979365 |
| Entity Type | Individual |
| Full Name | DR. RANDI MARIE JIMENEZ |
| Credential | D.C. |
| Practice Address |
60 Katona Dr Suite #19 Fairfield CT 06824-3544 |
| Mailing Address |
239 French St 2nd Floor Bridgeport CT 06606-5409 |
| Practice Telephone | 2035836894 |
| Mailing Telephone | 2035836894 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2010-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 001742 | CT | Chiropractic Providers |
| Street Address |
60 KATONA DR SUITE #19 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-3544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871569707 | Shamrock Visiting Nurse & Home Health Aide Agency, Inc. | Home Health | 60 Katona Dr, Suite 18, Fairfield, CT 06824-3544 | 2006-02-28 |
| 1528683109 | Rachel Black | Counselor | 60 Katona Dr, Fairfield, CT 06824-3544 | 2020-06-10 |
| 1598133944 | Counseling & Family Therapy Center | Marriage & Family Therapist | 60 Katona Dr, Suite 22, Fairfield, CT 06824-3544 | 2015-09-02 |
| 1750633285 | Fairfield Counseling Group LLC | Psychologist | 60 Katona Dr, Suite 25, Fairfield, CT 06824-3544 | 2012-10-08 |
| 1588955538 | Perfect Smiles of Fairfield | Dentist | 60 Katona Dr, Suite 20, Fairfield, CT 06824-3544 | 2011-04-26 |
| 1053466979 | Jill Arronson Bachman | Social Worker | 60 Katona Dr, Ste 19, Fairfield, CT 06824-3544 | 2007-01-23 |
| 1841387842 | Michael Quinlivan | Dentist | 60 Katona Dr, Fairfield, CT 06824-3544 | 2006-10-10 |
| 1518068196 | Peter Frank Browning | Marriage & Family Therapist | 60 Katona Dr, Fairfield, CT 06824 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758725 | Tanner Ruberg | Chiropractor | 6101 Monastery Dr, Fairfield, OH 45014-4461 | 2020-04-06 |
| 1386116440 | John Boamah Jr. | Chiropractor | 1838 Black Rock Tpke Ste 2a, Fairfield, CT 06825-3501 | 2018-12-28 |
| 1750851804 | Virginia Applied Kinesiology LLC | Chiropractor | 206 E Burlington Ave, Fairfield, IA 52556-3117 | 2018-12-03 |
| 1881133304 | Andrew Nicholas Crape | Chiropractor | 1100 Kings Hwy E Ste 1c, Fairfield, CT 06825-5400 | 2017-02-16 |
| 1053859736 | Molloy Chiropractic LLC | Chiropractor | 264 Fairchild Ave, Fairfield, CT 06825-4872 | 2017-02-02 |
| 1437694411 | Vegacorp PC | Chiropractor | 2094 185th St., Suite 40, Fairfield, IA 52556-8758 | 2016-12-29 |
| 1114471315 | West Essex Chiropractic | Chiropractor | 54 Carlos Dr, Fairfield, NJ 07004-2117 | 2016-08-05 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1245647452 | Christopher Skelton | Chiropractor | 27 Halley Ct, Fairfield, CT 06825-5557 | 2014-07-20 |
| 1326464082 | Advanced Healthcare Clinic LLC | Chiropractor | 5 Williamson Dr Ste 300, Fairfield, IL 62837-2370 | 2014-03-05 |
| Find all providers in FAIRFIELD | ||||
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| 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.