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KIMBERLY JONES
NPI 1811452014
Dietitian, Registered - Nutrition, Pediatric in Mesa, AZ

Active since February 01, 2019
5131 E SOUTHERN AVE, MESA, AZ 85206(602) 933-0418 Get Directions Write a Review

NPPES record last updated: June 7, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2019, Feb 1, 2019 (2 updates tracked since 2019).

About Kimberly Jones NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY JONES (NPI 1811452014) is an individual nutrition, pediatric provider in Mesa, Arizona, licensed in Arizona (949607) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1811452014
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameKIMBERLY JONES
Location Address5131 E SOUTHERN AVEMesa, AZ 85206-2799
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1813
Phone(602) 933-0418
Sole ProprietorNo
Enumeration DateFebruary 1, 2019
Last NPPES UpdateJune 7, 20192 updates tracked since enumeration
✔ NPI 1811452014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
Licenses✔ Licensed in AZ · 949607✔ Licensed in CA · 949607
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
5131 E SOUTHERN AVE, Mesa, AZ 85206
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Jones is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Medical Group
Same address
Multi-Specialty
5131 E SOUTHERN AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 clinicians in this Medicare group
NPI 1487814240 (602) 933-0002

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL HAYNES D.O.
Pediatrics
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002
ADRIANNA SALAZAR CCC-SLP
Speech-Language Pathologist
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (480) 707-3322
KARL M. BAUMGARTNER MD
Pediatrics
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (480) 833-5437
PHOENIX CHILDREN'S HOSPITAL, INC.
Clinic/Center (Urgent Care)
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002
PHOENIX CHILDREN'S HOSPITAL, INC.
General Acute Care Hospital (Children)
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002
MCKENNA TAMMO PA-C
Physician Assistant
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002
JAMES ALTON WILLIAMS MD
Pediatrics (Pediatric Hematology-Oncology)
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 546-0920
PHOENIX CHILDREN'S MEDICAL GROUP
Clinic/Center (Multi-Specialty)
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Jones's NPI number?

The NPI number for Kimberly Jones is 1811452014. It was assigned to this individual provider in the NPPES registry on February 1, 2019.

Where is Kimberly Jones located?

Kimberly Jones practices at 5131 E Southern Ave, Mesa, AZ 85206. The listed phone number is (602) 933-0418.

What is Kimberly Jones's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Is Kimberly Jones enrolled in Medicare?

Yes. Kimberly Jones is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Jones reassigns Medicare benefits to Phoenix Children's Medical Group (Mesa, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Jones was last updated on June 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.