Active NPI
Jonathan Paul Wingfield, APRN, FNP-BC
- Family Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1144075201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 291704
- Practice address
- 5333 N 7TH St Ste B
Phoenix, AZ 85014-2821 - Phone
- (832) 591-4110
- NPI assigned
- Apr 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 291704 | AZ | Primary |
Addresses
Primary practice location
5333 N 7TH St Ste B
Phoenix, AZ 85014-2821
Mailing address
1725 W Tonto LN
Phoenix, AZ 85027-4513
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291704 | AZ | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1144075201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W TONTO LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 N 7TH ST STE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142821",
"telephone_number": "832-591-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGFIELD",
"first_name": "JONATHAN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "APRN, FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "291704",
"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 Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.