Individual provider Active NPI

Mary Vogl, RN

  • School Registered Nurse
  • Queen Creek, AZ
National Provider Identifier
1760191381
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
258272 Issued in AZ
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

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
258272AZMDSchool 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.

Verify at the official NPI Registry.