GINA ISABEL JIMENEZ (NPI# 1295242865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295242865 |
| Entity Type | Individual |
| Full Name | GINA ISABEL JIMENEZ |
| Credential | PA-C |
| Practice Address |
1080 Chinook Ln Pueblo CO 81001-1850 |
| Mailing Address |
5308 Outlook Blvd Unit 305 Pueblo CO 81008-1461 |
| Practice Telephone | 7195649400 |
| Practice Fax Number | 7195640497 |
| Mailing Telephone | 7872473734 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0005192 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909832 | Gina Jimenez | Midwife | 1002 S Fisk St Ste 150, Green Bay, WI 54304-2277 | 2020-07-16 |
| 1558913186 | Gina Jimenez | Occupational Therapist | 15820 Addison Rd, Addison, TX 75001-3549 | 2019-07-13 |
| Street Address |
1080 CHINOOK LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710952577 | Richard Rivera | Family Medicine | 1080 Chinook Ln, Pueblo, CO 81001-1850 | 2006-02-22 |
| 1003342981 | Vi T Pham | Physician Assistant | 1080 Chinook Ln, Pueblo, CO 81001-1850 | 2017-05-11 |
| 1487026274 | Lindsay Renee Stringer | Physician Assistant | 1080 Chinook Ln, Pueblo, CO 81001-1850 | 2015-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527652 | Li Ashley Lim | Physician Assistant | 132 W B St Apt 3k, Pueblo, CO 81003-3446 | 2020-10-26 |
| 1104366178 | Alfe Garperio | Physician Assistant | 2625 W Pueblo Blvd, Pueblo, CO 81004-3816 | 2017-02-24 |
| 1871895995 | A Theodore Smith | Physician Assistant | 1600 West 24th Street, Colorado Mental Health Institute At Pueblo, Pueblo, CO 81003 | 2010-11-22 |
| 1689793812 | Paul Whitney Safford | Physician Assistant | 600 West 16th St, Pueblo, CO 81003 | 2007-03-28 |
| 1740347996 | Jose Luis Ramirez | Physician Assistant | 45825 Highway 96 East, Pueblo, CO 81006 | 2007-01-03 |
| 1932217635 | Juliana Schrettner | Physician Assistant | 1600 N Greenwood, 520, Pueblo, CO 81003 | 2006-08-25 |
| 1427046077 | James L Kramer | Physician Assistant | 1008 Minnegua Ave, Emergency Room, Pueblo, CO 81004 | 2005-10-07 |
| 1306846381 | Lucas R Derting | Physician Assistant | 1600 North Grand Avenue, Suite 500, Pueblo, CO 81003-2757 | 2005-07-29 |
| 1922001700 | Stephen D Bast | Physician Assistant | 3676 Parker Blvd, Pueblo, CO 81008-2212 | 2005-05-24 |
| 1245863257 | Anna Elizabeth Inserra | Physician Assistant | 1315 Fortino Blvd, Pueblo, CO 81008-1981 | 2020-02-18 |
| Find all providers in PUEBLO | ||||
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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.