Individual provider Active NPI

Jacquelynn Stewart, PA-C

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1558880906
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
890 W Elliot Rd Ste 102
Gilbert, AZ 85233-5127
Phone
(480) 500-2285
Fax
(919) 882-8575
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AZ Primary

Addresses

Primary practice location

890 W Elliot Rd Ste 102
Gilbert, AZ 85233-5127

Mailing address

1001 E 17TH St Apt 110
Tucson, AZ 85719-6768
Phone (405) 885-7164

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)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Express Care, PLLC CurrentSince Oct 9, 2017 Accepting new patients
Whispering Palms Medical Inc Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Texan Urgent Care PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations

2875 W Ray Rd
Ste 8
Chandler, AZ 85224
Phone (480) 726-3440

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564

3730 W Happy Valley Rd
Ste 100
Glendale, AZ 85310
Phone (623) 277-4140

1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040

1955 S Signal Butte Rd
Ste 103
Mesa, AZ 85209
Phone (480) 214-4466

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045

835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007

2860 W Peoria Ave
Ste B
Phoenix, AZ 85029
Phone (602) 283-0595

8260 W Indian School Rd
Ste 1
Phoenix, AZ 85033
Phone (623) 846-7122

5259 W Indian School Rd
Ste 100
Phoenix, AZ 85031
Phone (623) 888-5101

2301 N 44th St
Phoenix, AZ 85008
Phone (602) 808-8786

4902 E Shea Blvd
Ste 101
Scottsdale, AZ 85254
Phone (480) 214-4468

7730 E McDowell Rd
Ste 101
Scottsdale, AZ 85257
Phone (480) 699-3314

12775 W Bell Rd
Ste 100
Surprise, AZ 85378
Phone (623) 215-0082

1804 W Elliot Rd
Tempe, AZ 85284
Phone (480) 456-0444

940 E University Dr
Ste 101
Tempe, AZ 85288
Phone (480) 214-0622

2720 W Baseline Rd
Tempe, AZ 85283
Phone (602) 777-6000

3244 S Mill Ave
Ste 101
Tempe, AZ 85282
Phone (480) 214-0621

1895 W Valencia Rd
Ste 101
Tucson, AZ 85746
Phone (520) 576-5104

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

2510 E Broadway Blvd
Tucson, AZ 85716
Phone (520) 232-2072

2460 N Swan Rd
Ste 140
Tucson, AZ 85712
Phone (520) 441-5405

Organizations & group practices 9

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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1558880906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E 17TH ST APT 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857196768",
            "telephone_number": "405-885-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W ELLIOT RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335127",
            "telephone_number": "480-500-2285",
            "fax_number": "919-882-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JACQUELYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.