Jackolyn Sue Hunt, RNNNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

026766 Issued in AZ

Practice address

5555 W Thunderbird Rd
Neonatology Department
Glendale, AZ 85306-4622

Phone

(602) 865-5915

Fax

(602) 865-5935

NPI assigned

Mar 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381104000000",
    "number": "1659512630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 N. 16TH ST.",
            "address_2": "SUITE 425",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204401",
            "telephone_number": "623-643-9235",
            "fax_number": "623-643-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 W THUNDERBIRD RD",
            "address_2": "NEONATOLOGY DEPARTMENT",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064622",
            "telephone_number": "602-865-5915",
            "fax_number": "602-865-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "JACKOLYN",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RNNNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2013-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "AZ",
            "license": "026766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444578",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Ian Hume, LPC
• Tessa Hummel
• Melissa Nicole Hundley
• Frances Hunn, RN
• Glenn S Hunt
• Lance Tony Hunt, PHARM D
• Hunter Orthodontics PLLC
• David R Hunter, D.D.S.
• Edward Ralph Hunter, MPT
• Kelci Hunter, NP

• Neonatal Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Neonatal Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.