Individual provider Active NPI

Kyndra Michelle Jones

  • Social Worker
  • San Angelo, TX
National Provider Identifier
1962031377
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
66794 Issued in TX
Practice address
4240 Southwest Blvd
San Angelo, TX 76904-5634
Phone
(432) 263-7361
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 66794 TX Primary

Addresses

Primary practice location

4240 Southwest Blvd
San Angelo, TX 76904-5634

Mailing address

4240 Southwest Blvd
San Angelo, TX 76904-5634
Phone (432) 263-7361

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL WestTexasVAHCS Health Information Exchange (HIE)
CONNECT URL WTXVAHCS

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
66794TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1962031377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 SOUTHWEST BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045634",
            "telephone_number": "432-263-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 SOUTHWEST BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045634",
            "telephone_number": "432-263-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KYNDRA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2026-05-11",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "66794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WestTexasVAHCS",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4240 Southwest Blvd",
            "city": "San Angelo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "769045634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WTXVAHCS",
            "affiliation": "N",
            "address_1": "4240 Southwest Blvd",
            "city": "San Angelo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "769045634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.