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LISA A JIMENEZ MD
NPI 1619902806
Pediatrics in Albuquerque, NM

Active since July 12, 2006
9210 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114(505) 298-2505(505) 298-2985 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lisa A Jimenez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA A JIMENEZ MD (NPI 1619902806) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (20020168) and active in the NPI registry since July 2006. She maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1619902806
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLISA A JIMENEZCredential: MD
Location Address9210 GOLF COURSE RD NWAlbuquerque, NM 87114-5891
Mailing Address5904 Holly Ave NeAlbuquerque, NM 87113-2472 · (505) 298-2505 · Fax (505) 298-2985
Phone(505) 298-2505
Fax(505) 298-2985
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJanuary 28, 2019
✔ NPI 1619902806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NM · 20020168
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9210 GOLF COURSE RD NW, Albuquerque, NM 87114
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Secondary Practice Location 1

Location 19201 Montgomery Blvd NE, Suite 201Albuquerque, NM 87111-2468 · Phone (505) 298-2505 · Fax (505) 298-2985

Other Identifiers 1

Medicaid15756734NM

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA L ABEYTA MD
Pediatrics
9210 GOLF COURSE RD NW
ALBUQUERQUE, NM 87114
Bernalillo County (505) 298-2505
STEVEN SIEGEL MD
Pediatrics
9210 GOLF COURSE RD NW
ALBUQUERQUE, NM 87114
Bernalillo County (505) 298-2505
MR. IAN VANDERWOUDE PA-C, MSPAS
Physician Assistant (Medical)
9210 GOLF COURSE RD NW
ALBUQUERQUE, NM 87114
Bernalillo County (505) 899-3933

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Jimenez's NPI number?

The NPI number for Lisa Jimenez is 1619902806. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Lisa Jimenez located?

Lisa Jimenez practices at 9210 Golf Course Rd NW, Albuquerque, NM 87114. The listed phone number is (505) 298-2505.

What is Lisa Jimenez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Lisa Jimenez was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.