Individual provider Active NPI

Misti L Pruet, RN

  • School Registered Nurse
  • Glendale, AZ
National Provider Identifier
1336056340
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN191011 Issued in AZ
Practice address
5490 W Paradise LN
Glendale, AZ 85306-2535
Phone
(623) 412-5063
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN191011 AZ Primary

Addresses

Primary practice location

5490 W Paradise LN
Glendale, AZ 85306-2535

Mailing address

5490 W Paradise LN
Glendale, AZ 85306-2535
Phone (623) 412-5063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1336056340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5490 W PARADISE LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062535",
            "telephone_number": "623-412-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5490 W PARADISE LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062535",
            "telephone_number": "623-412-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUET",
        "first_name": "MISTI",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN191011",
            "primary": true
        }
    ],
    "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 Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.