Individual provider Active NPI

Debbie Kay McGonigle, W.H.C.N.P

  • Obstetrics & Gynecology Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1669632360
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN041460 Issued in AZ
Practice address
18555 N 79TH Ave
Suite E-101
Glendale, AZ 85308-8370
Phone
(623) 412-3100
Fax
(623) 334-9125
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN041460 AZ Primary

Addresses

Primary practice location

18555 N 79TH Ave
Suite E-101
Glendale, AZ 85308-8370

Mailing address

18555 N 79TH Ave
Suite E-101
Glendale, AZ 85308-8370
Phone (623) 412-3100

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN041460AZMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1669632360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE",
            "address_2": "SUITE E-101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088370",
            "telephone_number": "623-412-3100",
            "fax_number": "623-334-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 N 79TH AVE",
            "address_2": "SUITE E-101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088370",
            "telephone_number": "623-412-3100",
            "fax_number": "623-334-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGONIGLE",
        "first_name": "DEBBIE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "W.H.C.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "RN041460",
            "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 Jun 16, 2008; 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.