Heather L Kinder, RN IBCLC
Individual provider Active NPI Family Nurse Practitioner · Vail, AZ
NPI 1295240885 · NPPES record last updated Aug 9, 2021
Key facts
- NPI
- 1295240885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 262087 (AZ)
- Practice address
- 1200 N Vail View Rd
Vail, AZ 85641-9693 - Phone
- (520) 310-4682
- NPI assigned
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chiricahua Community Health Centers Inc
Practice addresses (Care Compare)
155 Calle Portal
Suite 300
Sierra Vista, AZ 85635-2900
Phone (520) 459-3012
Hospital & facility affiliations
- Canyon Vista Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211124001746 | AZ | Practitioner - Nurse Practitioner | 3870983349 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-101057 | AZ | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiricahua Community Health Centers, Inc. | Current |
Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Current | Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Current |
Accepting new patients |
Locations
335 S Ocotillo St
Benson, AZ 85602
Phone (520) 326-4811
108 Arizona St
Bisbee, AZ 85603
Phone (520) 432-3309
1151 E 16th St
Douglas, AZ 85607
Phone (520) 364-5437
1100 N F Ave
Douglas, AZ 85607
Phone (520) 364-3285
1205 N F Ave
Douglas, AZ 85607
Phone (520) 364-6852
815 E 15th St
Douglas, AZ 85607
Phone (520) 364-5437
1111 N F Ave
Douglas, AZ 85607
Phone (520) 364-6860
10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222
4755 Campus Dr
Sierra Vista, AZ 85635
Phone (520) 226-3020
155 Calle Portal
Ste 300
Sierra Vista, AZ 85635
Phone (520) 458-6331
155 Calle Portal
Ste 700
Sierra Vista, AZ 85635
Phone (520) 459-0203
77 Calle Portal
Ste C240
Sierra Vista, AZ 85635
Phone (520) 335-6271
251 W Rex Allen Dr
Willcox, AZ 85643
Interoperability endpoints
- heather.kinder.p1@direct.cchci.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-101057 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 262087 | AZ | Yes |
Addresses
Primary practice location
1200 N Vail View Rd
Vail, AZ 85641-9693
Mailing address
1200 N Vail View Rd
Vail, AZ 85641-9693
Phone (520) 310-4682
Other providers in Vail, AZ
- Navin Kedia
- John Carrick Kennedy
- Shannon Kennedy
- Diane Christine Kent
- Tiffany Kern
- Kinetix Spine and Joint
- Jennifer Braden Kirkpatrick
- Loreen Ann Kleinberg
- Marilyn Klensin-Montrose
- Julie Antonette Koob
All providers in Vail, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.