Individual provider Active NPI

Jocelyn Rose Gledhill, RN CLC

  • Lactation Consultant (Registered Nurse)
  • Phoenix, AZ
National Provider Identifier
1306632807
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
364310 Issued in AZ
Practice address
2931 N 16TH Dr
Phoenix, AZ 85015-6146
Phone
(623) 398-9351
NPI assigned
Apr 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 364310 AZ Primary

Addresses

Primary practice location

2931 N 16TH Dr
Phoenix, AZ 85015-6146

Mailing address

2931 N 16TH Dr
Phoenix, AZ 85015-6146
Phone (623) 398-9351

Other practice location 1

13802 N 32nd St Ste 8
Phoenix, AZ 85032-5638
Phone (623) 398-9351

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
364310AZMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1745020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1306632807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 N 16TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850156146",
            "telephone_number": "623-398-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 N 16TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850156146",
            "telephone_number": "623-398-9351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13802 N 32nd St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850325638",
            "country_code": "US",
            "telephone_number": "623-398-9351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLEDHILL",
        "first_name": "JOCELYN",
        "middle_name": "ROSE",
        "credential": "RN CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-19",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AZ",
            "license": "364310",
            "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 19, 2025; 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.