Jorge Phillip Kinds, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

230322 Issued in AZ

Practice address

27441 N Black Canyon Hwy Unit 117
Phoenix, AZ 85085-0018

Phone

(623) 297-6857

NPI assigned

Jun 7, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• El Rohi JCK LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1518718972
  Medicare reassignment NPD Authorized official
• Winslow Indian Health Care Center, Inc

  • Federal Public Health Clinic/Center
  • Winslow, AZ
  • NPI 1184729493

  TX

  Medicare reassignment NPD
• Dilkon Medical Center

  • Federal Public Health Clinic/Center
  • Dilkon, AZ
  • NPI 1306016126
  NPD
• Dr. Keith Goss, PLLC

  • Wound Care Registered Nurse
  • Phoenix, AZ
  • NPI 1538895545
  NPD
• Winslow Indian Health Care Center, Inc

  • Land Ambulance
  • Winslow, AZ
  • NPI 1477827368
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1174182760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27441 N BLACK CANYON HWY UNIT 117",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850018",
            "telephone_number": "623-297-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27441 N BLACK CANYON HWY UNIT 117",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850018",
            "telephone_number": "623-297-6857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Winslow",
            "state": "AZ",
            "postal_code": "860472169",
            "country_code": "US",
            "telephone_number": "928-289-8136 x28136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDS",
        "first_name": "JORGE",
        "middle_name": "PHILLIP",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "230322",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN149517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindness Health, LLC
• Kindnest Home Care LLC
• Kindnest Staffing, LLC
• Kindred Hearts Assisted Living LLC
• Kindred Nursing Centers West, LLC
• Emilia Kinel, SLP
• Kinesys Ortho LLC
• King Assisted Living LLC
• King S Transportation
• Miriam Elizabeth King-Dagen, FNP-BC

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.