Individual provider Active NPI

James Stangle, CPNP-PC, FNP-C

  • Pediatric Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1790206159
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP10442 Issued in AZ
Practice address
6101 S Rural Rd Ste 110
Tempe, AZ 85283-2910
Phone
(623) 401-5437
NPI assigned
Jul 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10442 AZ
Pediatric Nurse Practitioner 363LP0200X AP10442 AZ Primary

Addresses

Primary practice location

6101 S Rural Rd Ste 110
Tempe, AZ 85283-2910

Mailing address

3905 N 7TH Ave Unit 33273
Phoenix, AZ 85067-2614
Phone (602) 803-0306

Other practice location 1

3050 N Litchfield Rd Ste 130
Goodyear, AZ 85395-7806
Phone (623) 243-4432

Other practice location 2

13065 W McDowell Rd Ste C130
Avondale, AZ 85392-6448
Phone (623) 846-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180208000973 AZ Practitioner - Nurse Practitioner 1850651050 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP10442AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Childrens Banner Health Clinic LLC Current Accepting new patients
Stepping Stones Pediatrics PLLC Family CurrentSince Apr 1, 2021 Accepting new patients
Banner Childrens Banner Health Clinic LLC CurrentSince Jan 13, 2022 Accepting new patients
Banner Childrens Banner Health Clinic LLC CurrentSince Jan 13, 2022 Accepting new patients
Medical Imagery Solutions & Staffing CurrentSince Oct 1, 2021 Accepting new patients
North Scottsdale Pediatric Associates Past Accepting new patients
Banner Primary Care Physicians Arizona LLC Past Accepting new patients

Locations

1450 S Dobson Rd
Ste B220
Mesa, AZ 85202
Phone (480) 827-5044

15800 N Litchfield Rd
Ste 150
Surprise, AZ 85374
Phone (623) 478-3100

15800 N Litchfield Rd
Surprise, AZ 85374

13995 W Statler Blvd
Bldg 1
Surprise, AZ 85374
Phone (623) 478-3100

6101 S Rural Rd
Ste 110
Tempe, AZ 85283
Phone (623) 252-5491

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23684/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1790206159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 N 7TH AVE UNIT 33273",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850672614",
            "telephone_number": "602-803-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 S RURAL RD STE 110",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832910",
            "telephone_number": "623-401-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 N Litchfield Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853957806",
            "country_code": "US",
            "telephone_number": "623-243-4432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13065 W McDowell Rd Ste C130",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853926448",
            "country_code": "US",
            "telephone_number": "623-846-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANGLE",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CPNP-PC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10442",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP10442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.