Active NPI
Mary Vogl, RN
- School Registered Nurse
- Queen Creek, AZ
National Provider Identifier
1760191381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 258272
- Practice address
- 23636 S 204TH St
Queen Creek, AZ 85142-9677 - Phone
- (480) 987-5920
- Fax
- (480) 987-0612
- NPI assigned
- Nov 22, 2022
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 258272 | AZ | Primary |
Addresses
Primary practice location
23636 S 204TH St
Queen Creek, AZ 85142-9677
Mailing address
2020 E Inverness Ave Apt 2073
Mesa, AZ 85204-6977
Phone (480) 406-8379
Other practice location 1
20912 E Camina Buena Vis
Queen Creek, AZ 85142-5232
Phone (480) 406-8379
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258272 | AZ | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1760191381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 E INVERNESS AVE APT 2073",
"city": "MESA",
"state": "AZ",
"postal_code": "852046977",
"telephone_number": "480-406-8379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23636 S 204TH ST",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851429677",
"telephone_number": "480-987-5920",
"fax_number": "480-987-0612"
}
],
"practiceLocations": [
{
"address_1": "20912 E Camina Buena Vis",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851425232",
"country_code": "US",
"telephone_number": "480-406-8379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOGL",
"first_name": "MARY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "258272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.