Jackie Sue Wolfe, CRT

Primary specialty

Pulmonary Rehabilitation Certified Respiratory TherapistTaxonomy code 2278P1005X

License

6346 Issued in AZ

Practice address

15640 N 7TH St
Suite 6
Phoenix, AZ 85022-3512

Phone

(602) 439-3800

Fax

(602) 439-3802

NPI assigned

May 28, 2008

Last updated

May 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1023276813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 N 7TH ST",
            "address_2": "SUITE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223512",
            "telephone_number": "602-439-3800",
            "fax_number": "602-439-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 N 7TH ST",
            "address_2": "SUITE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223512",
            "telephone_number": "602-439-3800",
            "fax_number": "602-439-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "JACKIE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "CRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "AZ",
            "license": "6346",
            "primary": false
        },
        {
            "code": "2278P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": "AZ",
            "license": "6346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE BOARD OF RESPIRATORY CARE EXAMINERS",
            "identifier": "6346",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wolfangel Wellness PLLC
• Travis Wolfangel, DNP, PMHNP-BC
• Tyler Guy Wolfangel, MSN, APRN, FNP-C
• Lara Lynn Wolfe Sepulveda, N.P.
• Abby Jo Wolfe, S.L.P.A.
• John Andrew Wolfe, M.D.
• John D Wolfe, MD
• Joy Gerise Wolfe, MD
• Kimberly A Wolfe, MS CCC SLP
• Kimberly Ann Wolfe, PA-C

• Certified Respiratory Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Certified Respiratory Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.