ELAINE JIMENEZ


Address: 1811 Mobility Ln, Tampa, FL 33621-1500
Phone: 9403371647

ELAINE JIMENEZ (NPI# 1043593221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043593221
Entity Type Individual
Full Name ELAINE JIMENEZ
Credential IDMT
Practice Address 1811 Mobility Ln
Tampa
FL 33621-1500
Mailing Address 1811 Mobility Lane
Tampa
FL 33621
Practice Telephone 9403371647
Mailing Telephone 9403371647
Enumeration Date 2011-09-23
Last Update Date 2011-09-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Other Providers ELAINE JIMENEZ

NPI Name Taxonomy Address Enumeration
1760876809 Elaine Iris Jimenez Counselor 1515 Michelin Ct, Lutz, FL 33549-7533 2015-03-26

Office Location

Street Address 1811 MOBILITY LN
City TAMPA
State FL
Zip Code 33621-1500

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134644750 Kwanza Lincoln Military Health Care Provider 3520 Zemke Ave, Tampa, FL 33621 2017-08-04
1922407659 Michelle Lind Social Worker 8126 Hangar Loop Dr, 927the Arw - Bldg 296, Room 231, Tampa, FL 33621 2014-08-19
1588932768 Katherine Holmes Physician Assistant 6th Medical Group, 3250 Zemke Ave, Macdill Afb, FL 33621 2011-12-02
1558378273 Graeme Charles Bicknell Social Worker 4815 Bayshore Blvd, 6th Medical Group, Tampa, FL 33621 2006-08-02
1659346146 Laura Umfer Psychologist 4515 Bayshore Blvd, Tampa, FL 33621 2006-02-20
1205808516 Kenneth Joseph Baron Physician Assistant 3250 Zemke Ave #1078, 6th Medical Group, Macdill Afb, FL 33621 2006-02-02
1760478044 Michael Glenn Hodges Family Medicine 3250 Zerkle Avenue, Macdill Afb, FL 33621 2005-09-22
1003801242 Heather Ann Newman Nurse Anesthetist, Certified Registered 6th Medical Group/sghc, 8415 Bayshore Blvd, Macdill Afb, FL 33621 2005-09-14
1861486789 Daniel N. Park Physician Assistant Ussocom Clinic, 3250 Zemke Ave, Macdill Afb, FL 33621 2005-09-07
1811374002 Sara Bender Social Worker 3250 Zemke Ave, Tampa, FL 33621 2015-04-27
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639506579 Aaron Newby Military Health Care Provider 3434 Skysail Pl, Tampa, FL 33607-5828 2013-10-10
1376787168 Enoch Walter Daniels Military Health Care Provider 7448 Chevron Park Dr, Tampa, FL 33621-1700 2009-04-24
1588283188 Echo Sims Military Health Care Provider 3250 Zemke Ave, Tampa, FL 33621-5023 2020-04-13
1275152852 Kimberley Nichole Wissner Military Health Care Provider 3250 Zemke Ave, Tampa, FL 33621-5023 2020-04-13
1023661196 Jazzy-mae Nieto Military Health Care Provider 3250 Zemke Ave, Tampa, FL 33621-5023 2019-07-18
1538397898 Nicole Gonzalez Military Health Care Provider 8415 Bayshore Blvd, Tampa, FL 33621-1607 2009-06-25
1184851529 Angela Noel Messer Military Health Care Provider 8415 Bayshore Blvd, Tampa, FL 33621-1607 2009-06-12
1508091778 Cynthia Marie Milanese Military Health Care Provider 8415 Bayshore Blvd, Tampa, FL 33621-1607 2009-05-18
1184868861 Christopher Lawson Military Health Care Provider 8415 Bayshore Blvd, Tampa, FL 33621-1607 2009-04-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457994394 Nathaniel Clay Hollandsworth Military Health Care Provider 517 Harrison Dr, Hurlburt Field, FL 32544-1100 2019-10-23
1316592355 Tiffany Nicole Monroe Military Health Care Provider 6280 Ferguson Dr, Pensacola, FL 32503-7769 2019-08-06
1881197069 David Joseph Bergstrom Military Health Care Provider 2293 Frontera St, Navarre, FL 32566-6202 2018-03-14
1144723321 Paris Johnae Milton Military Health Care Provider 340 Magnolia Cir # 5612, Tyndall Afb, FL 32403-5604 2018-03-14
1538681226 Qynne M Shoemaker Military Health Care Provider 1008 E Strawbridge Ave, Melbourne, FL 32901-4909 2017-07-13
1891196531 Lorex Boy Lagora Military Health Care Provider 1010 Nw 91st St, Miami, FL 33150-2352 2014-09-12
1366865321 Stephanie Fike Military Health Care Provider 2804 Winners Circle Dr, Navarre, FL 32566-8820 2014-01-28
1821439712 Eric John Muelhausen Military Health Care Provider 6151 Evergreen Pkwy, Crestview, FL 32539-7702 2013-07-09
1457790875 Caige Carter Chapman Military Health Care Provider 1935 Jo Tam Lane, Navarre, FL 32566 2013-06-19
1164861704 Jared Steven Sleeman Military Health Care Provider 524 Tikell Dr, Crestview, FL 32536-5427 2013-06-17
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Competitor

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City TAMPA
Zip Code 33621

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Dataset Information

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.

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