DR. WANDA JIMENEZ M.D.M.P.H NPI 1306867700

NPI Information

  • NPI: 1306867700
  • Provider Name: DR. WANDA JIMENEZ, M.D.M.P.H
  • Classification: Preventive Medicine - 2083P0901X
  • Specialization: Public Health & General Preventive Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1707 COOKS HILL RD
    CENTRALIA, WA
    ZIP 98531
  • Phone: (360) 736-1961

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NPI Details

DR. Wanda Jimenez, M.D.M.P.H is a public health and general preventive medicine preventive medicine in Centralia, WA with 39 years of experience. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. DR. Wanda Jimenez, M.D.M.P.H NPI is 1306867700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1707 COOKS HILL RD
CENTRALIA, WA
ZIP 98531-071
Phone: (360) 736-1961

The NPI 1306867700 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 7/21/2006 and was last updated on 7/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD00048802WASHINGTONNo
22083P0901XPreventive MedicinePublic Health & General Preventive Medicine175463NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G8875842MEDICARE PIN
28118JIOTHERREGENCE
3WJ072F3610MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
48530024MEDICAIDWASHINGTON
5503900MEDICARE OSCAR/CERTIFICATIONWASHINGTON
60568510001MEDICARE NSCWASHINGTON
70239255OTHERWASHINGTONLABOR & INDUSTRIES
8E86097MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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