Physician Compare National (NPI:1447672043)

HEALTHCARE PROVIDER: STACY KORRINE JIMENEZ D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1447672043
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274766464
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140423001276
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JIMENEZ
	Individual professional last name
Provider First Name	STACY
	Individual professional first name
Provider Middle Name	KORRINE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7410 SWITZER ST
	Group Practice or individual's line 1 address
City	SHAWNEE
	Group Practice or individual's city
State	KS
	Group Practice or individual's state
Zip Code	662034550
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M