Individual provider Active NPI

Janna Kay Stults, CNM

  • Advanced Practice Midwife
  • Mesa, AZ
National Provider Identifier
1265942395
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP10647 Issued in AZ
Practice address
2204 S Dobson Rd Ste 202
Mesa, AZ 85202-6457
Phone
(480) 633-6868
Fax
(480) 633-6996
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP10647 AZ
Advanced Practice Midwife 367A00000X AP60949541 WA
Advanced Practice Midwife 367A00000X AP10647 AZ Primary

Addresses

Primary practice location

2204 S Dobson Rd Ste 202
Mesa, AZ 85202-6457

Mailing address

PO Box 748860
Atlanta, GA 30374
Phone (480) 633-6868

Other practice location 1

2045 S Vineyard Ste 136
Mesa, AZ 85210-6891
Phone (480) 565-5990

Other practice location 2

650 W Maryland Ave Ste 1
Phoenix, AZ 85013-1399
Phone (602) 240-2401

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220519002683 AZ Practitioner - Certified Nurse Midwife (CNM) 7911233366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10032 E Southern Ave
Mesa, AZ 85209-2759
Phone (480) 351-2850

580 N Camino Mercado
Suite 8
Casa Grande, AZ 85122-5757
Phone (520) 381-0381

655 S Dobson Rd
Chandler, AZ 85224-5669
Phone (480) 307-9471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP10647AZMDAdvanced Practice Midwife
AP60949541WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Women'S Care Arizona, LLC CurrentSince Jul 1, 2022 Accepting new patients
Palm Valley Women'S Care, PLC Past Accepting new patients
Sun Life Family Health Center, Inc Past Accepting new patients
C. Steven Plimpton Past Accepting new patients

Locations

10815 W McDowell Rd
Ste 301
Avondale, AZ 85392
Phone (623) 433-0106

1864 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 350-7560

1856 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-0380

1864 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 381-0320

865 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 381-0363

655 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 307-9471

205 N Stuart Blvd
Eloy, AZ 85131
Phone (520) 466-7883

174 W Highway 287
Florence, AZ 85132
Phone (520) 868-5811

3530 S Val Vista Dr
Ste 202
Gilbert, AZ 85297
Phone (480) 633-6868

2204 S Dobson Rd
Ste 202
Mesa, AZ 85202
Phone (480) 633-6868

650 W Maryland Ave
Ste 1
Phoenix, AZ 85013
Phone (602) 240-2401

515 E Thomas Rd
Phoenix, AZ 85012
Phone (602) 241-1717

9130 W Thomas Rd
Ste A-108
Phoenix, AZ 85037
Phone (623) 433-0106

4747 N 7th St
Ste 150
Phoenix, AZ 85014
Phone (602) 240-2401

Organizations & group practices 8

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": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1265942395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748860",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30374",
            "telephone_number": "480-633-6868",
            "fax_number": "480-633-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S DOBSON RD STE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026457",
            "telephone_number": "480-633-6868",
            "fax_number": "480-633-6996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 S Vineyard Ste 136",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852106891",
            "country_code": "US",
            "telephone_number": "480-565-5990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 W Maryland Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850131399",
            "country_code": "US",
            "telephone_number": "602-240-2401",
            "fax_number": "602-792-0244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STULTS",
        "first_name": "JANNA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP10647",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60949541",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "AP10647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.