Active NPI
Jupiter Canyon Telehealth PLLC
- Primary Care Nurse Practitioner
- Glendale, AZ
National Provider Identifier
1033074273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- JUPITER CANYON TELEHEALTH PLLC
- Practice address
- 6219 W Altadena Ave
Glendale, AZ 85304-3203 - Phone
- (623) 745-1251
- Fax
- (808) 673-0171
- NPI assigned
- Dec 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley McKendall, NP
- Title
- Managing Member
- Phone
- (623) 745-1251
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
6219 W Altadena Ave
Glendale, AZ 85304-3203
Mailing address
5830 W Thunderbird Rd Ste B8
Glendale, AZ 85306-4655
Phone (623) 745-1251
National Provider Directory
National Provider DirectoryLocations
5830 W Thunderbird Rd
Ste B8
Glendale, AZ 85306
Phone (480) 788-8011
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781308800000",
"number": "1033074273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5830 W THUNDERBIRD RD STE B8",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064655",
"telephone_number": "623-745-1251",
"fax_number": "623-745-1251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6219 W ALTADENA AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853043203",
"telephone_number": "623-745-1251",
"fax_number": "808-673-0171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUPITER CANYON TELEHEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-19",
"last_updated": "2026-06-13",
"certification_date": "2026-06-13",
"status": "A",
"authorized_official_last_name": "MCKENDALL",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "623-745-1251",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.