Active NPI
Jolene Wala
- Registered Nurse
- Tempe, AZ
National Provider Identifier
1003742404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN201326
- Practice address
- 4015 S McClintock Dr
Tempe, AZ 85282-5877 - Phone
- (602) 890-9497
- Fax
- (928) 460-8476
- NPI assigned
- Jun 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN201326 | AZ | Primary |
Addresses
Primary practice location
4015 S McClintock Dr
Tempe, AZ 85282-5877
Mailing address
18621 W Onyx Ave
Waddell, AZ 85355-4449
Phone (602) 388-0068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN201326 | Other | AZ | RN LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1003742404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18621 W ONYX AVE",
"city": "WADDELL",
"state": "AZ",
"postal_code": "853554449",
"telephone_number": "602-388-0068",
"fax_number": "928-460-8476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 S MCCLINTOCK DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825877",
"telephone_number": "602-890-9497",
"fax_number": "928-460-8476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALA",
"first_name": "JOLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-23",
"last_updated": "2026-06-23",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN201326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN201326",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.