MS. STACY KORRINE JIMENEZ (NPI# 1447672043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447672043 |
| Entity Type | Individual |
| Full Name | MS. STACY KORRINE JIMENEZ |
| Credential | D.C. |
| Practice Address |
18122 W 119th St Olathe KS 66061-9532 |
| Practice Telephone | 9137301800 |
| Practice Fax Number | 9137301804 |
| Mailing Telephone | 9137301800 |
| Mailing Fax Number | 9137301804 |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 01-05606 | KS | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS PROVIDER # | 50198021 | 01 |
| KS | BCBS GROUP # | 50415017 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649541129 | Stacy Carolina Jimenez | Psychologist | 440 Sawgrass Corporate Pkwy, Suite 106, Sunrise, FL 33325-6244 | 2012-01-16 |
| Street Address |
18122 W 119TH ST |
| City | OLATHE |
| State | KS |
| Zip Code | 66061-9532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386844819 | Trent Chandler Henderson | Optometrist | 18122 W 119th St, Olathe, KS 66061-9532 | 2007-07-23 |
| 1053599522 | Ridgeview Eye Care LLC | Optometrist | 18122 W 119th St, Olathe, KS 66061-9532 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192967 | Sarah L Gilliland | Registered Nurse | Olathe School District, Central Elementary, 305 E. Cedar St., Olathe, KS 66061 | 2020-04-16 |
| 1518517382 | Olathe West Dentistry, Pa | Dentist | 2180 West Dartmouth Street, Olathe, KS 66061 | 2019-09-13 |
| 1992354815 | Terry Graves | Technician | 11640 S. Pine St., Olathe, KS 66061 | 2019-09-04 |
| 1154975746 | Nydia Smith | Dietitian, Registered | 11875 W Sunset Drive Suite 300, Olathe, KS 66061 | 2019-07-31 |
| 1598235160 | John Toplikar | Specialist/Technologist | 507 E Spruce St, Olathe, KS 66061 | 2018-11-27 |
| 1639679103 | A Friend In Need Home Care, LLC | Home Health | 1033 E Pineview St, Olathe, KS 66061 | 2018-02-20 |
| 1023529468 | Molly Marie Hulsen | Nurse Practitioner | 20805 W. 151st Street, The Doctors Bldg #2, Ste. 400, Olathe, KS 66061 | 2017-10-12 |
| 1093230682 | Salakchit Lyfoung | Physician Assistant | 225 S Normandy St, Olathe, KS 66061 | 2017-08-04 |
| 1376063289 | Hana Tahaei | Dietitian, Registered | 20333 W. 151st Street, Olathe, KS 66061 | 2017-06-21 |
| 1396273447 | Cosenza Maria Bryson | Counselor | 21344 W. 153rd Street, Olathe, KS 66061 | 2017-06-01 |
| Find all providers in zip 66061 | ||||
| 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 |
|---|---|---|---|---|
| 1477110146 | Charity Rose Lenhoff | Chiropractor | 16310 S Central St, Olathe, KS 66062-2791 | 2019-05-28 |
| 1356819395 | Pure Balance Family Chiropractic LLC | Chiropractor | 601 N Mur Len Rd Ste 5, Olathe, KS 66062-5416 | 2018-11-07 |
| 1306325204 | Aleesa Harris | Chiropractor | 10454 S Ridgeview Rd, Olathe, KS 66061-6438 | 2018-08-10 |
| 1386130839 | Cameon Michelle Blake | Chiropractor | 1707 E Cedar St Ste 108, Olathe, KS 66062-1886 | 2018-07-09 |
| 1790286391 | Summit Chiropractic, LLC | Chiropractor | 801 N Mur Len Rd Ste 103, Olathe, KS 66062-1794 | 2018-02-28 |
| 1710499579 | Leslie Reece | Chiropractor | 153 W 151st St Ste 150, Olathe, KS 66061-4592 | 2017-11-01 |
| 1124566088 | Realign Kc Chiropractic, LLC | Chiropractor | 14949 W 124th Ter, Olathe, KS 66062-5934 | 2017-02-10 |
| 1265980130 | Unruh Chiropractic & Wellness Pllc | Chiropractor | 1815 S Ridgeview Rd, Olathe, KS 66062-2288 | 2016-09-20 |
| 1811347743 | John Williams Krim IIi | Chiropractor | 14625 S Caenen Ln, Olathe, KS 66062-8405 | 2016-06-22 |
| 1720433444 | Nicolas Rodriguez | Chiropractor | 535 W Elm St, Olathe, KS 66061-4074 | 2016-05-02 |
| Find all providers in OLATHE | ||||
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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.