Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kinley Jo Nordin

Individual provider Behavior Technician · NPI 1013669423

Kinley Jo Nordin is an Occupational Therapist in Private Practice in Fargo, North Dakota. Qualified in 2025, 1 year ago. Practices with St Marys Regional Health Center, a 188-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2022

Practice location Address checks out

4152 30th Ave S
Fargo, ND 58104-8524
Phone: (701) 364-2663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1013669423
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 26, 2022
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice St Marys Regional Health Center — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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