Individual provider Active NPI

Ashley McKendall, NP

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1124744396
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
291628 Issued in AZ
Practice address
5830 W Thunderbird Rd Ste B8
Glendale, AZ 85306-4655
Phone
(808) 673-0171
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 291628 AZ
Orthopedic Registered Nurse 163WX0800X RN210369 AZ
Family Nurse Practitioner 363LF0000X 291628 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 291628 AZ

Addresses

Primary practice location

5830 W Thunderbird Rd Ste B8
Glendale, AZ 85306-4655

Mailing address

6219 W Altadena Ave
Glendale, AZ 85304-3203
Phone (808) 673-0171

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN210369AZMDOrthopedic Registered Nurse
291628AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Canyon Telehealth PLLC Primary Care CurrentSince Dec 21, 2025 Accepting new patients

Locations

5830 W Thunderbird Rd
Ste B8
Glendale, AZ 85306
Phone (480) 788-8011

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1124744396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6219 W ALTADENA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043203",
            "telephone_number": "808-673-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 W THUNDERBIRD RD STE B8",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064655",
            "telephone_number": "808-673-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENDALL",
        "first_name": "ASHLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "291628",
            "primary": false
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "AZ",
            "license": "RN210369",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "291628",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "291628",
            "primary": false
        }
    ],
    "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.