MRS. KRISTINA JIMENEZ (NPI# 1891278966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891278966 |
| Entity Type | Individual |
| Full Name | MRS. KRISTINA JIMENEZ |
| Credential | LVN |
| Practice Address |
12193 Custer St Yucaipa CA 92399-4485 |
| Mailing Address |
378 N 41st St Banning CA 92220-3408 |
| Practice Telephone | 9517566756 |
| Mailing Telephone | 9517566756 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 273492 | CA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12193 Custer St, Yucaipa, CA 923994485 | 9517566756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641246 | Kristina Jimenez | Licensed Vocational Nurse | 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 | 2020-05-22 |
| 1366944944 | Kristina Maria Jimenez | Physical Therapist | 608 Washington St, Hoboken, NJ 07030-5170 | 2018-02-28 |
| 1952776023 | Kristina Jimenez | Nurse Practitioner | 15921 W Ajo Hwy, Tucson, AZ 85735-2032 | 2015-12-01 |
| 1316232929 | Kristina Franco Jimenez | Pharmacist | 999 W Main St, T-0903, West Dundee, IL 60118-2059 | 2011-06-10 |
| 1538360474 | Kristina Marie Jimenez | Specialist | 801 S Power Rd, Ste 112, Mesa, AZ 85206-5207 | 2007-05-29 |
| Street Address |
12193 CUSTER ST |
| City | YUCAIPA |
| State | CA |
| Zip Code | 92399-4485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093058836 | Renee E Hampton | Licensed Vocational Nurse | 12193 Custer St, Yucaipa, CA 92399-4485 | 2013-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301941 | Emily Ambrosi | Occupational Therapist | 12257 Tulip Ln, Yucaipa, CA 92399 | 2020-09-23 |
| 1952943524 | Terrence Williams | Behavioral Analyst | 13768 Meadow View Lane, Yucaipa, CA 92399 | 2019-10-15 |
| 1235795097 | Han Acu&herbs, Inc | Acupuncturist | 32387 Yucaipa Blvd, Ste, F, Yucaipa, CA 92399 | 2019-05-16 |
| 1366926784 | David Gene Satre | Psychologist | 31752 Dove Ct, Yucaipa, CA 92399 | 2018-09-21 |
| 1336659861 | Titianna Little | Physical Therapist | 32819 Yucaipa Boulevard #3, Yucaipa, CA 92399 | 2017-10-11 |
| 1174043467 | Sharon Lee Pendola | Licensed Vocational Nurse | 11885 4th St, Yucaipa, CA 92399 | 2017-06-27 |
| 1073033072 | Juniper Manor, LLC | Skilled Nursing Facility | 35223 Juniper Avenue, Yucaipa, CA 92399 | 2017-06-21 |
| 1952858417 | Rafael Arias | Non-emergency Medical Transport (VAN) | 12386 17th St, Yucaipa, CA 92399 | 2016-09-01 |
| 1578906467 | Joyce I Bandele | Durable Medical Equipment & Medical Supplies | 34664 County Line Rd Suite 14, Yucaipa, CA 92399 | 2013-04-10 |
| 1033475108 | Loleta Michelle Gustafson | Marriage & Family Therapist | 34455 Yucaipa Blvd Ste 206, Yucaipa, CA 92399 | 2012-04-03 |
| Find all providers in zip 92399 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154968956 | Jennifer Hayley Austin | Licensed Vocational Nurse | 12524 Douglas St, Yucaipa, CA 92399-4823 | 2019-11-30 |
| 1740839604 | Joshua Lawrence Tyler | Licensed Vocational Nurse | 12275 16th St Apt C, Yucaipa, CA 92399-1773 | 2019-09-04 |
| 1649745696 | Rebecca Moruzzi | Licensed Vocational Nurse | 34029 Lily Rd, Yucaipa, CA 92399-2292 | 2018-10-05 |
| 1174043467 | Sharon Lee Pendola | Licensed Vocational Nurse | 11885 4th St, Yucaipa, CA 92399 | 2017-06-27 |
| 1821540006 | Kristen Lee Lamm | Licensed Vocational Nurse | 13333 3rd St Apt 10, Yucaipa, CA 92399-5015 | 2016-11-03 |
| 1003274424 | Tiffany R Bools | Licensed Vocational Nurse | 12447 3rd St, Yucaipa, CA 92399-4228 | 2016-01-29 |
| 1093058836 | Renee E Hampton | Licensed Vocational Nurse | 12193 Custer St, Yucaipa, CA 92399-4485 | 2013-03-29 |
| 1740522267 | Tina M Carter | Licensed Vocational Nurse | 11950 Berkeley Dr, Yucaipa, CA 92399-3924 | 2013-03-22 |
| 1255638706 | Heidi Marie Gibson | Licensed Vocational Nurse | 13654 Willow Creek Dr, Yucaipa, CA 92399-6706 | 2011-02-18 |
| 1730357286 | Ava Marie Lamm | Licensed Vocational Nurse | 12398 Custer St, Yucaipa, CA 92399-4452 | 2008-02-19 |
| Find all providers in YUCAIPA | ||||
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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.