Individual provider Active NPI

Winnie Stuempfle

  • Pediatric Hematology & Oncology Physician
  • Glendale, AZ
National Provider Identifier
1407448046
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
242858 Issued in AZ
Practice address
5757 W Thunderbird Rd Ste E250
Glendale, AZ 85306-5613
Phone
(602) 865-4470
NPI assigned
Feb 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 242858 AZ Primary

Addresses

Primary practice location

5757 W Thunderbird Rd Ste E250
Glendale, AZ 85306-5613

Mailing address

5757 W Thunderbird Rd Ste E320
Glendale, AZ 85306-4641

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210312001504 AZ Practitioner - Nurse Practitioner 1456767623 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
242858AZMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Mar 15, 2021 Accepting new patients
Banner-University Medical Group Current Accepting new patients
Banner - University Super Specialists LLC CurrentSince Mar 15, 2021 Accepting new patients
Banner-University Medical Group CurrentSince Mar 15, 2021 Accepting new patients

Locations

5757 W Thunderbird Rd
Ste E250
Glendale, AZ 85306
Phone (602) 865-4470

5757 W Thunderbird Rd
Ste E320
Glendale, AZ 85306

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

1625 N Campbell Ave
Tucson, AZ 85719

Organizations & group practices 4

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1407448046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 W THUNDERBIRD RD STE E320",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W THUNDERBIRD RD STE E250",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853065613",
            "telephone_number": "602-865-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUEMPFLE",
        "first_name": "WINNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "AZ",
            "license": "242858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.