Active NPIIndividual provider

Amanda R Jimenez, DO

Internal Medicine, Critical Care Medicine in Raleigh, North Carolina

NPI Number1710116082
Practice location
4420 Lake Boone Trl, Raleigh, NC 27607-7505
Fax
—
Last updated
July 24, 2023

Amanda Roth Jimenez is an Internal Medicine, Critical Care Medicine based in Raleigh, NC. Amanda Roth Jimenez practices in Raleigh, NC and has the professional credentials of DO. The NPI Number for Amanda Roth Jimenez is 1710116082 and holds a License No. 253468 (MA). The current practice location address for Amanda Roth Jimenez is 4420 Lake Boone Trl, Raleigh, NC 27607-7505 and can be reached out via phone at 919-784-3100.

Provider Profile Details

NPI Number
1710116082
Provider Name
Amanda Roth Jimenez
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4420 Lake Boone Trl, Raleigh, NC 27607-7505
Phone Number
919-784-3100
Primary Taxonomy
Internal Medicine, Critical Care Medicine · 207RC0200X
Sole Proprietor
No
Provider Enumeration Date
July 8, 2009
Last Update Date
July 24, 2023
Certification Date
July 24, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
4420 Lake Boone Trl
Raleigh, NC 27607-7505
Zip
27607-7505
Phone Number
919-784-3100
Raleigh, NC 27607Get directions →

Provider Business Mailing Address Details

Address
41 Mall RD
Burlington, MA 01805-0002
City
Burlington
State
MA
Zip
01805-0002
Phone Number
781-744-5700
Fax Number
781-744-5358

License Information

License Number (1)
253468
License State (1)
MA
Taxonomy (1)
Hospitalist · 208M00000X
License Number (2)
2015-01013
License State (2)
NC
Taxonomy (2)
Internal Medicine, Critical Care Medicine · 207RC0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda R Jimenez, DO?

The NPI number of Amanda R Jimenez, DO is 1710116082. It was assigned on July 8, 2009 and is currently active in the NPPES registry.

What is the specialty of Amanda R Jimenez, DO?

Amanda R Jimenez, DO is registered under the primary taxonomy Internal Medicine, Critical Care Medicine (code 207RC0200X), licensed in MA under license number 253468.

Where does Amanda R Jimenez, DO practice?

The practice location is 4420 Lake Boone Trl, Raleigh, NC 27607-7505. The office can be reached at 919-784-3100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710116082 directly on the NPPES registry website.

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