Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heidi Jimenez

Individual provider Acute Care Nurse Practitioner · NPI 1356847172

Heidi Jimenez is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2017, 9 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
9
Licensed in
RI
In the registry since
2018
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Practice location Address checks out

164 Summit Ave
Providence, RI 02906
Phone: (401) 793-4102
Fax: (401) 793-4049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN01789 (RI)

Record details

NPI number1356847172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESMay 31, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Providence