Individual provider Active NPI

Madelynn Lea Oglesby, PHYSICIAN ASSISTANT

  • Lactation Consultant (Non-RN)
  • Gilbert, AZ
National Provider Identifier
1316552946
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-320361 Issued in AZ
Practice address
3317 S Higley Rd
Gilbert, AZ 85297-5436
Phone
(480) 900-8639
NPI assigned
Sep 10, 2020
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9128 AZ
Lactation Consultant (Non-RN) 174N00000X L-320361 AZ Primary
Doula 374J00000X AZ

Addresses

Primary practice location

3317 S Higley Rd
Gilbert, AZ 85297-5436

Mailing address

3295 E Castanets Dr
Gilbert, AZ 85298-9189
Phone (602) 663-2776

Other identifiers 2

IdentifierTypeStateIssuer
25MP00573400OtherNJNEW JERSEY STATE BOARD OF MEDICAL EXAMINERS
9128OtherAZTHE ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
L-320361AZMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1316552946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 E CASTANETS DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852989189",
            "telephone_number": "602-663-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 S HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852975436",
            "telephone_number": "480-900-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLESBY",
        "first_name": "MADELYNN",
        "middle_name": "LEA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9128",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "AZ",
            "license": "L-320361",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY STATE BOARD OF MEDICAL EXAMINERS",
            "identifier": "25MP00573400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS",
            "identifier": "9128",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.