Individual provider Active NPI

Kristin Makinajyan, NP

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1851197016
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
320435 Issued in AZ
Practice address
1214 N Golden Palomino PL
Tucson, AZ 85715-5256
Phone
(626) 215-5900
NPI assigned
Feb 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 320435 AZ Primary

Addresses

Primary practice location

1214 N Golden Palomino PL
Tucson, AZ 85715-5256

Mailing address

PO Box 32350
Tucson, AZ 85751-2350
Phone (626) 215-5900

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
I20250402002414 AZ Practitioner - Nurse Practitioner 3678673050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Spectrum Wellness IncGroup PAC ID 6103359666, 2 clinicians

Practice addresses (Care Compare)

1840 N Craycroft Rd
Tucson, AZ 85712-3702
Phone (626) 215-5900

Hospital & facility affiliations

  • Tucson Medical Home Health Home health agency, Tucson, AZ, CCN 037498
  • Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037213

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Home Health Corp Current Accepting new patients
Full Spectrum Wellness Inc CurrentSince Feb 25, 2025 Accepting new patients
Emerald Healthcare Inc. CurrentSince Jan 26, 2020 Accepting new patients

Locations

7660 E Broadway Blvd
Ste 103
Tucson, AZ 85710
Phone (520) 372-2144

7660 E Broadway Blvd
Ste 210
Tucson, AZ 85710
Phone (323) 333-5240

1840 N Craycroft Rd
Tucson, AZ 85712
Phone (520) 886-2822

Interoperability endpoints

  • Direct secure messaging: kristin.makinajyan@945122067021828.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Concord Home Health CarePasadena, CA, CCN 058218 Home health agency W-2 Managing Employee (50%) Jun 8, 2020
Tucson Medical Home HealthTucson, AZ, CCN 037498 Home health agency 5% Or Greater Direct Ownership Interest (25%)
Corporate Officer (80%)
Corporate Director (80%)
Aug 16, 2019
Aug 16, 2019
Aug 16, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1851197016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32350",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857512350",
            "telephone_number": "626-215-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N GOLDEN PALOMINO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155256",
            "telephone_number": "626-215-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKINAJYAN",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "320435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.