Organization Active NPI

Jupiter Canyon Telehealth PLLC

  • Primary Care Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1033074273
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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

Updated by the provider on Jun 13, 2026

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

Authorized official

Name
Ashley McKendall, NPNPI 1124744396
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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.