Individual provider Active NPI

Jennifer Louise Mylod, DNP

  • Adult Health Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1053725879
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP5615 Issued in AZ
Practice address
5681 W Beverly LN Ste 100
Glendale, AZ 85306-9800
Phone
(480) 443-8400
Fax
(480) 443-8697
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP5615 AZ Primary

Addresses

Primary practice location

5681 W Beverly LN Ste 100
Glendale, AZ 85306-9800

Mailing address

4550 E Bell Rd
Ste 170
Phoenix, AZ 85032-9385
Phone (480) 443-8400

Other names 1

  • Jennifer Louise Saltzman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140918001620 AZ Practitioner - Nurse Practitioner 3779702063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Arthritis and Rheumatology Associates P CGroup PAC ID 8123912516, 63 clinicians

Practice addresses (Care Compare)

4550 E Bell Rd
Suite 170
Phoenix, AZ 85032-9385
Phone (480) 443-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jennifer.simpson.p1@direct.aara.nextgenshare.com
  • Direct secure messaging: jennifer.mylod.1@5919.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1053725879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD",
            "address_2": "STE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329385",
            "telephone_number": "480-443-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5681 W BEVERLY LN STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853069800",
            "telephone_number": "480-443-8400",
            "fax_number": "480-443-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYLOD",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP5615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SALTZMAN",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.