Ivan Jimenez
Specialist/Technologist, Athletic Trainer in Pueblo, CO. Individual provider (NPI-1).
NPI number1013671874
StatusActive
Last updated in NPPESOct 27, 2021
Details
- NPI
- 1013671874
- Entity type
- Individual (NPI-1)
- Name
- Ivan Jimenez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2021
- Certification date
- Oct 27, 2021
- Last updated
- Oct 27, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | CO | Yes |
Practice location
1817 Yakima LnPueblo, CO 81001-1513
Phone 719-243-6300
Mailing address
1817 Yakima LnPueblo, CO 81001-1513
Phone 719-243-6300
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in Pueblo, CO
- Cody Andreis, LAT, ATCNPI 1952085292
- Natasha BalcomNPI 1124530555
- Shelby Bley, LAT, ATCNPI 1023667268
- Tessa Boccumini, ATCNPI 1265946388
- Jacky Brenton, ATCNPI 1699381244
- Jamal BynumNPI 1689570962
- Jesus Chavez, ATCNPI 1811633316
- Laura E Clark, MS ,ATCNPI 1760879597
- Roger Clark, ATC, PHDNPI 1225458136
- Colleen Conroy, ATCNPI 1336412600
All 35 Athletic Trainer providers in Pueblo · All 5,060 providers in Pueblo
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.