Active NPI
Janet Michelle Gradle, CPNP
- Pediatric Nurse Practitioner
- Apache Junction, AZ
National Provider Identifier
1710042957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APO241
- Practice address
- 1075 S Idaho Rd
Suite 206
Apache Junction, AZ 85219-6496 - Phone
- (480) 889-1234
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APO241 | AZ | Primary |
Addresses
Primary practice location
1075 S Idaho Rd
Suite 206
Apache Junction, AZ 85219-6496
Mailing address
2502 N Cabot
Mesa, AZ 85207-1516
Phone (480) 889-1234
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)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APO241 | AZ | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710042957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 N CABOT",
"city": "MESA",
"state": "AZ",
"postal_code": "852071516",
"telephone_number": "480-889-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 S IDAHO RD",
"address_2": "SUITE 206",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "852196496",
"telephone_number": "480-889-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADLE",
"first_name": "JANET",
"middle_name": "MICHELLE",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "APO241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apache Junction, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.