Individual provider Active NPI

Kelly Jo Guastello, RN

  • Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1083523401
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN206652 Issued in AZ
Practice address
2440 W Gelding Dr
Phoenix, AZ 85023-5918
Phone
(401) 441-2099
NPI assigned
Sep 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN206652 AZ Primary

Addresses

Primary practice location

2440 W Gelding Dr
Phoenix, AZ 85023-5918

Mailing address

2440 W Gelding Dr
Phoenix, AZ 85023-5918
Phone (401) 441-2099

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1083523401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 W GELDING DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850235918",
            "telephone_number": "401-441-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 W GELDING DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850235918",
            "telephone_number": "401-441-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUASTELLO",
        "first_name": "KELLY",
        "middle_name": "JO",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN206652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.