Active NPI
Heart and Mind LLC
- Family Medicine Physician
- Mesa, AZ
National Provider Identifier
1093577314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEART AND MIND LLC
- Practice address
- 560 W Brown Rd Ste 3001
Mesa, AZ 85201-3225 - Phone
- (480) 210-7182
- Fax
- (480) 741-8573
- NPI assigned
- Jan 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Kirkham
- Title
- Authorized Official
- Phone
- (623) 205-0456
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
560 W Brown Rd Ste 3001
Mesa, AZ 85201-3225
Mailing address
2036 N Gilbert Rd Ste 2-500
Mesa, AZ 85203-2139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2036 N Gilbert Rd
Ste 2500
Mesa, AZ 85203
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Mesa, AZ
- NPI 1669010757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776124800000",
"number": "1093577314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2036 N GILBERT RD STE 2-500",
"city": "MESA",
"state": "AZ",
"postal_code": "852032139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W BROWN RD STE 3001",
"city": "MESA",
"state": "AZ",
"postal_code": "852013225",
"telephone_number": "480-210-7182",
"fax_number": "480-741-8573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART AND MIND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-24",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A",
"authorized_official_last_name": "KIRKHAM",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "623-205-0456"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Tanner Healy
- Heap and Bunker Dental
- Kristopher Davis Heap, DDS
- Hearing Retail Partners II LLC (Optium Hearing Care)
- Heart 2 Hart LLC
- Heart and Vascular Surgical Center, LLC
- Heart of Abundance, LLC
- Heart of Gold Home Healthcare Services
- Heartfelt Hearing Center, LLC
- Hearthstone Hospital - Mesa, LLC (Trillium Specialty Hospital - East Valley)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.