LISSETTE JIMENEZ (NPI# 1932631322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932631322 |
| Entity Type | Individual |
| Full Name | LISSETTE JIMENEZ |
| Practice Address |
1710 Harrison St White River Medical Center Batesville AR 72501-7303 |
| Mailing Address |
2442 Black Horse Dr Ne Grand Rapids MI 49505-3968 |
| Practice Telephone | 8702621200 |
| Mailing Telephone | 6163015459 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 4301502123 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184980864 | Lissette Jimenez | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2012-04-06 |
| 1881985091 | Lissette Jimenez | Counselor | 4822 N Broadway St, 2nd Floor, Chicago, IL 60640-3604 | 2011-04-21 |
| Street Address |
1710 HARRISON ST WHITE RIVER MEDICAL CENTER |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-7303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973500 | Kamarajapuram Raman Desikan | Internal Medicine | 1710 Harrison St, Batesville, AR 72501-7303 | 2005-06-24 |
| 1316551799 | Lucenthia Georgette Warden | Nurse Practitioner | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-09-03 |
| 1629688247 | Gretchin Cooper | Nurse Practitioner | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-08-07 |
| 1891311270 | Chassidy Elyse Seward | Pharmacist | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-06-22 |
| 1437770690 | Kemuel Ezekiel Telemaque | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-29 |
| 1023639291 | Sara Kathryn Whyte | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-29 |
| 1992325773 | Omar Alkhatib | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-21 |
| 1386263101 | Jude-patrick Nnamdi Okafor | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-11 |
| 1922637131 | Steffie-ann Orlene Dujon | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-08 |
| 1558990952 | Soubhi Alhayek | Student in an Organized Health Care Education/Training Program | 1710 Harrison St, Batesville, AR 72501-7303 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831495423 | White River Health System, Inc. | Hospitalist | 1710 Harrison St, Batesville, AR 72501-7303 | 2011-01-31 |
| 1619201043 | Alliance Health Partners LLC | Hospitalist | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2009-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1043865082 | Sean Luke Davidson | Hospitalist | 3305 Malloy St, Little Rock, AR 72204-4480 | 2019-08-06 |
| 1932520764 | South Arkansas Emergency Physicians, LLP | Hospitalist | 4301 Johnson Mill Blvd, Johnson, AR 72741-0001 | 2013-12-20 |
| 1447671490 | South Arkansas Emergency Physicians, LLP | Hospitalist | 3000 Se Medical Center Pkwy, Bentonville, AR 72712-3217 | 2013-12-18 |
| 1033454723 | Prime Physicians LLC | Hospitalist | 5808 Callaway Ln, Fort Smith, AR 72916-8437 | 2012-12-06 |
| 1316204746 | Stephanie Michelle Henkel | Hospitalist | 2710s Rife Medical Ln, Rogers, AR 72758-1452 | 2012-04-23 |
| 1629366471 | Chandra Shekhar Dasari | Hospitalist | 4301 W Markham St # 795, Little Rock, AR 72205-7101 | 2011-07-14 |
| 1316230816 | Joe David May | Hospitalist | 8072 Ironstone Dr, Alexander, AR 72002-5007 | 2011-05-17 |
| 1740411511 | Chandra S Lingisetty | Hospitalist | College Avenue, 2302 Conway Regional Medical Center, Conway, AR 72034 | 2009-07-28 |
| 1821282526 | Abhijit Shivkumar | Hospitalist | 225 E Jackson, St Bernards Medical Center, Jonesboro, AR 72401-3119 | 2007-09-05 |
| Find all providers with the same taxonomy | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
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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.