Individual provider Active NPI

Kristin Jamison, FNP

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1245685510
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28196781 Issued in IN
Practice address
1455 W Chandler Blvd Ste 4
Chandler, AZ 85224-6177
Phone
(480) 899-2900
Fax
(833) 973-4362
NPI assigned
Apr 25, 2016
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28196781 IN Primary

Addresses

Primary practice location

1455 W Chandler Blvd Ste 4
Chandler, AZ 85224-6177

Mailing address

710 N Niles Ave
South Bend, IN 46617-1924
Phone (574) 647-1610

Other names 1

  • Kristin Kirsch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230427002394 AZ Practitioner - Nurse Practitioner 2567752132 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28196781INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Wellness Resources Family CurrentSince Aug 17, 2024 Accepting new patients
Warner Family Practice, PC CurrentSince Jan 20, 2023 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Jun 1, 2024 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Jun 1, 2024 Accepting new patients
Sun Lakes Family Physicians LLC PastSince May 1, 2001 Accepting new patients

Locations

1455 W Chandler Blvd
Ste 4
Chandler, AZ 85224
Phone (480) 899-2900

2905 W Warner Rd
Ste 12
Chandler, AZ 85224
Phone (480) 831-8457

333 N Dobson Rd
Ste 15
Chandler, AZ 85224
Phone (480) 282-8336

2001 N 4th St
Flagstaff, AZ 86004
Phone (928) 526-5020

7400 S Power Rd
Ste 140
Gilbert, AZ 85297
Phone (480) 590-1442

21300 N John Wayne Pkwy
Ste 123
Maricopa, AZ 85139
Phone (520) 494-7778

4545 E Southern Ave
Ste 103
Mesa, AZ 85206
Phone (480) 827-9945

7525 E Broadway Rd
Ste 2
Mesa, AZ 85208
Phone (480) 981-9800

4600 E Shea Blvd
Ste 100
Phoenix, AZ 85028
Phone (602) 955-8700

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

36543 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 401-1811

3501 N Scottsdale Rd
Ste 231
Scottsdale, AZ 85251
Phone (480) 945-3873

10450 E Riggs Rd
Ste 114
Sun Lakes, AZ 85248
Phone (480) 505-2450

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kristin.jamison.1@27041.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1245685510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N NILES AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171924",
            "telephone_number": "574-647-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W CHANDLER BLVD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246177",
            "telephone_number": "480-899-2900",
            "fax_number": "833-973-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "KRISTIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28196781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "KIRSCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.