Jackie Lynn Plumley, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP043604 Issued in AZ

Practice address

45012 W Honeycutt Ave
Maricopa, AZ 85239-2842

Phone

(520) 840-5454

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1053565945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42858 W KRISTAL LN",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "852385888",
            "telephone_number": "520-423-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45012 W HONEYCUTT AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "852392842",
            "telephone_number": "520-840-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMLEY",
        "first_name": "JACKIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP043604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Pinkard Sr., MA
• Pinnacle Behavioral Health LLC
• Pinnacle Home Health LLC
• Pinnacle Maricopa, LLC
• Jade Placer
• PM Dental
• Diana Pompa
• Jared Michael Pope, DDS
• Jordyn Victoria Pope, BCBA, MA, LBA
• Amanda Brittany Post

• Licensed Practical Nurse in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.