Active NPI
Jeannie Jones Kinzie, M.D.
- Nuclear Imaging & Therapy Physician
- Evergreen, CO
National Provider Identifier
1376557603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Imaging & Therapy Physician
- License
- 26665
- Practice address
- 3221 Interlocken Dr
Evergreen, CO 80439-8846 - Phone
- (303) 670-0435
- Fax
- (303) 670-4581
- NPI assigned
- Jul 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Imaging & Therapy Physician | 207UN0902X | 26665 | CO | Primary |
| Radiation Oncology Physician | 2085R0001X | 26665 | CO |
Addresses
Primary practice location
3221 Interlocken Dr
Evergreen, CO 80439-8846
Mailing address
3221 Interlocken Dr
Evergreen, CO 80439-8846
Phone (303) 670-0435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01266659 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1376557603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3221 INTERLOCKEN DR",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804398846",
"telephone_number": "303-670-0435",
"fax_number": "303-670-4581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3221 INTERLOCKEN DR",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804398846",
"telephone_number": "303-670-0435",
"fax_number": "303-670-4581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINZIE",
"first_name": "JEANNIE",
"middle_name": "JONES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "CO",
"license": "26665",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CO",
"license": "26665",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01266659",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evergreen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.