JUAN MIGUEL JIMENEZ (NPI# 1295341337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295341337 |
| Entity Type | Individual |
| Full Name | JUAN MIGUEL JIMENEZ |
| Practice Address |
713 Nw 139th St Edmond OK 73013-1912 |
| Practice Telephone | 7022491309 |
| Mailing Telephone | 7022491309 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1376199760 | Juan M Jimenez | Assistant Behavior Analyst | 529 W 6th St, Port Angeles, WA 98362-5805 | 2019-08-13 |
| 1073836623 | Juan Antonio Jimenez | Urology | 18099 Lorain Ave Ste 141, Cleveland, OH 44111-5611 | 2010-03-10 |
| 1144414665 | Juan Ramon Jimenez | Anesthesiology | Carr 2 Km 129.3, Bo Victoria, Aguadilla, PR 00603 | 2007-08-28 |
| 1205046802 | Juan R Jimenez | Occupational Therapy Assistant | 75-59 263 Street, Glen Oaks, NY 11421 | 2007-05-23 |
| 1134245137 | Juan Francisco Jimenez | Acupuncturist | 4505 West Flagler Street, Suite 101, Miami, FL 33134 | 2007-03-21 |
| 1861400715 | Juan R Jimenez | Pediatrics | 48 Calle Henna, Urb El Cibao, Cobo Rojo, PR 00623 | 2006-08-04 |
| 1982643318 | Juan Carlos Jimenez | Surgery | 200 Ucla Medical Plz Ste 526, Los Angeles, CA 90095-0001 | 2006-06-04 |
| 1750340691 | Juan B Jimenez | Pediatrics | 15 Munoz Rivera St, Lares, PR 00669 | 2006-03-20 |
| 1659352631 | Juan Jimenez | Internal Medicine | 452 Ave Hostos, Urb El Vedado, San Juan, PR 00918-3015 | 2005-11-08 |
| Street Address |
713 NW 139TH ST |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1679184717 | Sacy Stegall | Peer Specialist | 2902 Amanda Dr, Edmond, OK 73034-8971 | 2020-08-12 |
| 1225656309 | Preston Rody | Peer Specialist | 17861 Prairie Sky Way, Edmond, OK 73012-6628 | 2020-07-06 |
| 1730704156 | Ace Parchami | Peer Specialist | 4128 Nw 155th St, Edmond, OK 73013-9139 | 2020-06-11 |
| 1912568460 | Amber Peitzmeier | Peer Specialist | 16009 Katie Ridge Dr, Edmond, OK 73013-1498 | 2019-06-25 |
| 1326601683 | Raymond N Baker | Peer Specialist | 2309 Tuscan Ln, Edmond, OK 73034-6985 | 2019-04-22 |
| 1851859185 | Tessa Ranae Linn | Peer Specialist | 21918 Douglas Ave, Edmond, OK 73012-3218 | 2019-03-05 |
| 1063977395 | Kyle Ray Hankins | Peer Specialist | 313 E Edwards St, Edmond, OK 73034-4528 | 2019-01-31 |
| 1275006975 | Brady Reynolds | Peer Specialist | 1301 Shalamar Rd, Edmond, OK 73013-6026 | 2019-01-04 |
| 1548731789 | Michael Lacy | Peer Specialist | 4104 Shiloh Valley Rd, Edmond, OK 73034-6912 | 2018-12-16 |
| Find all providers in EDMOND | ||||
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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.