Jody F Agins, FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN134991 Issued in AZ

Practice address

2122 N Craycroft Rd
Suite 102
Tucson, AZ 85712-2849

Phone

(520) 722-2400

Fax

(520) 323-7531

NPI assigned

Jan 23, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Jody Frame Kelly Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10556/brand/1/csg/1/fhir/r4

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.

• Pinnacle Healthcare, LLC

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1568793974
  Medicare reassignment NPD
• Seminars for Healthcare Education, Inc

  • Nursing Care Agency
  • Tucson, AZ
  • NPI 1326280926
  Authorized official Same address or phone
• Painted Sky Healthcare, Inc.

  dba Agape Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • Tucson, AZ
  • NPI 1548821838
  NPD
• Catalina Hospice PLLC

  • Community Based Hospice Care Agency
  • Tucson, AZ
  • NPI 1396351235
  NPD (past)
• Providers Direct, PLLC

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1073795852
  NPD (past)
• Mid America Senior Management Aco LLC

  • Internal Medicine Physician
  • Tonganoxie, KS
  • NPI 1326888900
  NPD (past)
• Mid America Senior Management LLC

  • Internal Medicine Physician
  • Tonganoxie, KS
  • NPI 1942356977
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265402358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 N WESTCLIFF DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857431043",
            "telephone_number": "520-981-0216",
            "fax_number": "520-344-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 N CRAYCROFT RD",
            "address_2": "SUITE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122849",
            "telephone_number": "520-722-2400",
            "fax_number": "520-323-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGINS",
        "first_name": "JODY",
        "middle_name": "F",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN134991",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN135991",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "RN135991",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "998594",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "KELLY",
            "middle_name": "FRAME",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Agility Spine & Sports Physical Therapy and Rehabilitation LP
• Agility Spine & Sports Physical Therapy and Rehabilitation LP
• Agility Spine & Sports Physical Therapy and Rehabilitation LP
• Agility Spine & Sports Physical Therapy and Rehabilitation LP
• Agility Spine & Sports Physical Therapy and Rehabilitation LP
• Agk Southwest, Inc. (Interim HealthCare)
• Beverly Reed Agnew, D.D.S.
• Melissa S Agnew, R.N.
• Elke Agor
• Shreeya Agrawal, MD

• Adult Health Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.