Active NPI
Jetta Valle, MSN, PMHNP, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Queen Creek, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP10652
- Practice address
- 21168 E Ocotillo Rd # 1271
Queen Creek, AZ 85142-8175 - Phone
- (520) 677-8025
- Fax
- (888) 205-9338
- NPI assigned
- Aug 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | AP10652 | AZ | |
| Family Nurse Practitioner | 363LF0000X | AP10652 | AZ | |
| Primary Care Nurse Practitioner | 363LP2300X | AP10652 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP10652 | AZ | Primary |
Addresses
Primary practice location
21168 E Ocotillo Rd # 1271
Queen Creek, AZ 85142-8175
Mailing address
21168 E Ocotillo Rd # 1271
Queen Creek, AZ 85142-8175
Phone (520) 677-8025
Other practice location 1
21168 E Ocotillo Rd # 1271
Queen Creek, AZ 85142-8175
Phone (606) 571-5117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204924 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Horizon Health and Wellness, Inc. | Current | Accepting new patients | |
| Horizon Health and Wellness, Inc. | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Horizon Health and Wellness, Inc. | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Horizon Health and Wellness, Inc. | Past | Accepting new patients | |
| Horizon Health and Wellness, Inc. | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278
115 W 2nd St
Casa Grande, AZ 85122
Phone (520) 836-1688
261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888
495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573
450 W Adamsville Rd
Florence, AZ 85132
Phone (520) 296-7169
428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400
287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282
Organizations & group practices 10
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.
-
- General Practice Physician
- Apache Junction, AZ
- NPI 1659308989
-
dba Northern Navajo Medical Center
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
TX
-
- General Acute Care Hospital
- Teec Nos Pos, AZ
- NPI 1477615789
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Casa Grande, AZ
- NPI 1164451381
-
- Federally Qualified Health Center (FQHC)
- Globe, AZ
- NPI 1689436412
-
- Professional Counselor
- Globe, AZ
- NPI 1205931987
Psychiatric/Mental Health
-
- Federally Qualified Health Center (FQHC)
- Oracle, AZ
- NPI 1710366737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755993600000",
"number": "1720336910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21168 E OCOTILLO RD # 1271",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851428175",
"telephone_number": "520-677-8025",
"fax_number": "888-205-9338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21168 E OCOTILLO RD # 1271",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851428175",
"telephone_number": "520-677-8025",
"fax_number": "888-205-9338"
}
],
"practiceLocations": [
{
"address_1": "21168 E Ocotillo Rd # 1271",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851428175",
"country_code": "US",
"telephone_number": "606-571-5117",
"fax_number": "888-205-9338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALLE",
"first_name": "JETTA",
"name_prefix": "Mrs.",
"credential": "MSN, PMHNP, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-21",
"last_updated": "2025-08-24",
"certification_date": "2025-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "AZ",
"license": "AP10652",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP10652",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AZ",
"license": "AP10652",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP10652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204924",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
- Isaac Urling, DMD
- Utah Home Hospice and Palliative Care, LLC
- Utterly Natural Speech Therapy, LLC
- Adrian Uy, LDO
- Melissa Kae Valenzuela-Settle, PH.D
- Lisa Valle, PHARMD
- Value Dental Centers Queen Creek Az LLC
- Esperanza H. Van Den Boom, SPEECH PATHOLOGIST
- Eric Bradford Vanausdal, OD
- Vance Physical Therapy, LLC (Vance Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2025; 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.