MARY JIMENEZ (NPI# 1669924445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669924445 |
| Entity Type | Individual |
| Full Name | MARY JIMENEZ |
| Credential | LPN |
| Practice Address |
2240 Winrow Ave Usa Meddac,rwbahc Fort Huachuca AZ 85613 |
| Mailing Address |
547 E Camino De Manana Huachuca City AZ 85616-8137 |
| Practice Telephone | 5205339033 |
| Mailing Telephone | 5205595705 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP034213 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477998227 | Mary E Jimenez | Marriage & Family Therapist | 2831 Camino Del Rio S, Ste. 201, San Diego, CA 92108-3802 | 2013-05-07 |
| 1093026759 | Mary Elizabeth Jimenez | Behavioral Analyst | 1218 Griegos Rd Nw, Albuquerque, NM 87107-3752 | 2010-06-28 |
| 1740323732 | Mary L Jimenez | Registered Nurse | 2615 E Clinton Ave, Medical Services, Fresno, CA 93703-2223 | 2007-02-15 |
| Street Address |
2240 WINROW AVE USA MEDDAC,RWBAHC |
| City | FORT HUACHUCA |
| State | AZ |
| Zip Code | 85613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568471431 | Paul Francis Llarue | Nurse Practitioner | 2240 Winrow Ave, Us Meddac, Rwbahc, Fort Huachuca, AZ 85613-7079 | 2006-08-07 |
| 1407376817 | Yolanda Ezeugwu | Social Worker | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2017-06-27 |
| 1124550157 | Diana Wakelyn | Licensed Practical Nurse | 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2017-03-29 |
| 1093258741 | Nancylee Ramsey | Licensed Practical Nurse | 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2016-11-29 |
| 1164974879 | Terra Whipple | Registered Nurse | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-10-28 |
| 1033660733 | Kelly Thomas | Licensed Practical Nurse | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-10-18 |
| 1417404484 | Matthew Marsh | Registered Nurse | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-09-07 |
| 1184170466 | Hannah Raya | Registered Nurse | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-08-28 |
| 1508227273 | Michael Patrick Nolan | Pharmacist | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-03-09 |
| 1538529359 | Jolleen Gistinger Gray | Registered Nurse | 2240 Winrow Ave, Usa Meddac Rwbahc, Fort Huachuca, AZ 85613 | 2016-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457713794 | Robert Lee Kent Jr. | Registered Nurse | 2240 East Winrow Avenue, Fort Huachuca, AZ 85613 | 2016-03-25 |
| 1548628662 | George Fauber | Licensed Practical Nurse | 224 Winrow Ave, Usa Meddac, Rwbahc, Ft Huachuca, AZ 85613 | 2016-02-03 |
| 1013207810 | Gerald Michael Pastore | Counselor | 2240 Winrow Ave Fort Huachuca, Az, Usa Meddac, Rwbahc, Apo, AA 85613 | 2011-04-13 |
| 1306049895 | Raymond W. Bliss Army Health Center | Clinic/Center | 45005 Arizona Street, Fort Huachuca, AZ 85613 | 2007-06-11 |
| 1477617124 | Raymond W. Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2w Bliss Army Health Center 45001, Ft Huachuca, AZ 85613 | 2006-12-20 |
| 1114026150 | Raymond W Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2 W Bliss Army Health Ctr, Bldg 45001, Ft Huachuca, AZ 85613 | 2006-09-22 |
| 1013931484 | Mark Allen Hendrickson | Internal Medicine | Rwbahc, Bldg 45001, Sierra Vista Cboc, Ft Huachuca, AZ 85613 | 2006-07-27 |
| 1972538973 | Gail Pielack | Nurse Practitioner | Rwbahc, 2240 Winrow Rd, Fort Huachuca, AZ 85613 | 2006-07-11 |
| 1093755233 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Optical Center, Bldg 52030, Ft. Huachuca, AZ 85613 | 2006-06-07 |
| 1336119395 | Eric Nmi Danko | Dentist | 2240 E. Winrow Ave, Us Army Dental Activity, Fort Huachuca, AZ 85613 | 2006-01-24 |
| Find all providers in zip 85613 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275986986 | Jaesoon Katie Cha | Licensed Practical Nurse | 716 Fuller St, Fort Huachuca, AZ 85613-1624 | 2016-07-18 |
| 1124550157 | Diana Wakelyn | Licensed Practical Nurse | 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2017-03-29 |
| 1376087551 | Melissa Jones | Licensed Practical Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-12-07 |
| 1093258741 | Nancylee Ramsey | Licensed Practical Nurse | 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2016-11-29 |
| 1316499197 | Janet Malave | Licensed Practical Nurse | 2240 Winrow Ave., Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-10-27 |
| 1033660733 | Kelly Thomas | Licensed Practical Nurse | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-10-18 |
| 1881048619 | Kay Chaparro | Licensed Practical Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-04-18 |
| 1063873164 | Michelle Arrieta | Licensed Practical Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-03-16 |
| 1114387016 | Brenda Vargas | Licensed Practical Nurse | 2240 Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613 | 2016-03-04 |
| 1730548637 | Lacy Berkshire | Licensed Practical Nurse | 2240 Winrow Rd, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85631 | 2016-02-19 |
| Find all providers in FORT HUACHUCA | ||||
| City | FORT HUACHUCA |
| Zip Code | 85613 |
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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.