Jere K O'Brien-Kinne, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN165700/AP3905 Issued in AZ

Practice address

3493 S Mercy Rd
Gilbert, AZ 85297-0434

Phone

(480) 732-0044

Fax

(480) 632-2786

NPI assigned

Nov 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Banner Childrens Banner Health Clinic LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1407191216
  NPD (past)
• Bethesda Pediatrics of Queen Creek

  • Pediatrics Physician
  • Queen Creek, AZ
  • NPI 1063727766
  NPD (past)
• Bethesda Pediatrics of Queen Creek

  • Pediatrics Physician
  • Mesa, AZ
  • NPI 1073102976
  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1194905885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S HIGLEY RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064000",
            "telephone_number": "480-615-2010",
            "fax_number": "480-632-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3493 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970434",
            "telephone_number": "480-732-0044",
            "fax_number": "480-632-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN-KINNE",
        "first_name": "JERE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "RN165700/AP3905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaodichukwu Oluebube Nwankwo
• David A. Nyberg, MD
• Heidi Nyhoff, FNP
• Nadene Cook Nystuen, RN
• Maureen Terese O'Brien-Cagney, FNP-C
• Katherine O'Brien
• Genevieve O'Connor
• Katie O'Connor, BS SLP
• Laura S O'Connor, FNP
• Tiffany K O'Connor, LAC

• Pediatric Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.