SOPHIA GABRIELLE JIMENEZ
NPI 1639757750
Student in an Organized Health Care Education/Training Program in Austin, TX
About Sophia Gabrielle Jimenez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIA GABRIELLE JIMENEZ (NPI 1639757750) is an individual student in an organized health care education/training program in Austin, Texas and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sophia Gabrielle Jimenez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78704
AUSTIN, TX 78704
AUSTIN, TX 78704
AUSTIN, TX 78704
AUSTIN, TX 78704
AUSTIN, TX 78704
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 Sophia Jimenez's NPI number?
The NPI number for Sophia Jimenez is 1639757750. It was assigned to this individual provider in the NPPES registry on March 30, 2021.
Where is Sophia Jimenez located?
Sophia Jimenez practices at 901 W Ben White Blvd, Austin, TX 78704. The listed phone number is (513) 377-3631.
What is Sophia Jimenez's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Sophia Jimenez enrolled in Medicare?
Yes. Sophia Jimenez is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Sophia Jimenez was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.
# Sophia Gabrielle Jimenez · NPI 1639757750
Student in an Organized Health Care Education/Training Program provider in Austin, Texas. Individual provider, active in the CMS NPPES registry since March 30, 2021.
## Identity
- **NPI:** 1639757750 (Entity type: Individual)
- **Enumerated:** March 30, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 901 W BEN WHITE BLVD, Austin, TX 78704-6903
- **Phone:** (513) 377-3631
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639757750) · Data from the CMS NPPES public registry.