EDUARDO JIMENEZ (NPI# 1629547591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629547591 |
| Entity Type | Individual |
| Full Name | EDUARDO JIMENEZ |
| Practice Address |
2121 S 19th St Tacoma WA 98405-2922 |
| Practice Telephone | 2532809830 |
| Mailing Telephone | 2532809830 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CG60697933 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225141534 | Eduardo Antonio Jimenez | Emergency Medicine | Ave General Valero, Hospital Hima-san Pablo, Fajardo, PR 00738-0969 | 2006-08-17 |
| 1295394286 | Eduardo Jimenez | Behavior Technician | 5762 Bolsa Ave Ste 100, Huntington Beach, CA 92649-1172 | 2019-06-12 |
| 1639610454 | Eduardo Jimenez | Counselor | 8900 N Kendall Dr, Miami Cancer Institute, Miami, FL 33176-2118 | 2017-03-13 |
| 1164622940 | Eduardo Jimenez | Pharmacist | 1425 Ne 163rd St, North Miami Beach, FL 33162-4624 | 2007-07-20 |
| Street Address |
2121 S 19TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538152475 | James Robert Taylor | Internal Medicine | 2121 S 19th St, Tacoma, WA 98405-2922 | 2005-08-25 |
| 1962962142 | Blair P Osburn | Counselor | 2121 S 19th St, Tacoma, WA 98405-2922 | 2019-03-22 |
| 1386108348 | Kate Noel Donahue | Nurse Practitioner | 2121 S 19th St, Tacoma, WA 98405-2922 | 2019-01-24 |
| 1043789530 | William Zane Zogg | Counselor | 2121 S 19th St, Tacoma, WA 98405-2922 | 2018-11-14 |
| 1841781168 | Sarah M Velazquez | Social Worker | 2121 S 19th St, Tacoma, WA 98405-2922 | 2018-05-22 |
| 1861919201 | Neeve Willows | Counselor | 2121 S 19th St, Tacoma, WA 98405-2922 | 2017-08-26 |
| 1174045876 | David Grant Nogle | Counselor | 2121 S 19th St, Tacoma, WA 98405-2922 | 2017-07-13 |
| 1023557428 | Karla Judith Aguilar | Counselor | 2121 S 19th St, Tacoma, WA 98405-2922 | 2017-02-17 |
| 1871965889 | Lynn Thayrich | Counselor | 2121 S 19th St, Tacoma, WA 98405-2922 | 2015-10-29 |
| 1144697343 | Scerra Hassuk | Social Worker | 2121 S 19th St, Tacoma, WA 98405 | 2015-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972945 | Phyllis Lizetta Jordan | Case Manager/Care Coordinator | 721 Fawcett Ave Ste 101721s, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1376180745 | Adriana Guzman | Case Manager/Care Coordinator | 1305 Tacoma Ave S Ste 202, Tacoma, WA 98402-1903 | 2019-12-04 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1174167688 | Carmen Banks | Case Manager/Care Coordinator | 721 Fawcett Ave Fl 3, Tacoma, WA 98402-5502 | 2019-10-29 |
| 1891357539 | Jeannette Twitty | Case Manager/Care Coordinator | 1127 Broadway Ste 10, Tacoma, WA 98402-3519 | 2019-07-02 |
| 1841755840 | Chelsea Perry | Case Manager/Care Coordinator | 721 Fawcett Ave Ste 200, Tacoma, WA 98402-5502 | 2019-02-04 |
| 1265944326 | Erlinda Vergara | Case Manager/Care Coordinator | Bldg 2103 North Division, Tacoma, WA 98433 | 2017-10-30 |
| 1013429216 | Theresa A Gallo | Case Manager/Care Coordinator | Madigan Army Medical Center Hospital Dental Clinic, Tacoma, WA 98431-0001 | 2017-10-27 |
| 1235641598 | Solecia Lizama Cruz | Case Manager/Care Coordinator | 11572 17th & C St, Tacoma, WA 98433 | 2017-10-26 |
| 1477082121 | Annalise Hertler | Case Manager/Care Coordinator | 5410 N 44th Street, Tacoma, WA 98407 | 2017-06-07 |
| Find all providers in TACOMA | ||||
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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.