Individual provider Active NPI

Jennifer Guiselle Kinyon

  • Student in an Organized Health Care Education/Training Program
  • Bend, OR
National Provider Identifier
1568393114
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
01393771RN Issued in OR
Practice address
20760 Wagontire Way
Bend, OR 97701-8669
Phone
(650) 279-7065
NPI assigned
May 25, 2026
Last updated
May 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 01393771RN OR Primary

Addresses

Primary practice location

20760 Wagontire Way
Bend, OR 97701-8669

Mailing address

20760 Wagontire Way
20760 Wagontire Way
Bend, OR 97701-8669
Phone (650) 279-7065

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01393771RNORMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1568393114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20760 WAGONTIRE WAY",
            "address_2": "20760 WAGONTIRE WAY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018669",
            "telephone_number": "650-279-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20760 WAGONTIRE WAY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018669",
            "telephone_number": "650-279-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINYON",
        "first_name": "JENNIFER",
        "middle_name": "GUISELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "01393771RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.