Individual provider Active NPI

Jalyn Schollmeyer, RN

  • School Registered Nurse
  • Gilbert, AZ
National Provider Identifier
1083129415
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN205969 Issued in AZ
Practice address
1945 S Ashland Ranch Rd
Gilbert, AZ 85295-4993
Phone
(480) 917-9900
NPI assigned
Dec 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN205969 AZ Primary

Addresses

Primary practice location

1945 S Ashland Ranch Rd
Gilbert, AZ 85295-4993

Mailing address

1945 S Ashland Ranch Rd
Gilbert, AZ 85295-4993
Phone (480) 917-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN205969AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1083129415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 S ASHLAND RANCH RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954993",
            "telephone_number": "480-917-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 S ASHLAND RANCH RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954993",
            "telephone_number": "480-917-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLLMEYER",
        "first_name": "JALYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN205969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.