Individual provider Active NPI

Yolanda Pooley, PAC

  • Pediatrics Physician
  • Glendale, AZ
National Provider Identifier
1801905823
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2229 Issued in AZ
Practice address
20221 N 67TH Ave Ste E3
Glendale, AZ 85308-0602
Phone
(623) 462-1981
Fax
(623) 400-3348
NPI assigned
Aug 30, 2006
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2229 AZ Primary

Addresses

Primary practice location

20221 N 67TH Ave Ste E3
Glendale, AZ 85308-0602

Mailing address

20221 N 67TH Ave Ste E3
Glendale, AZ 85308-0602
Phone (623) 462-1981

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
I20260511000543 AZ Practitioner - Physician Assistant 8224506092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Midwestern University College of Dental Medicine, Downers Grove, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20221 N 67TH Ave
Suite E3
Glendale, AZ 85308-0602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2229AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidfinity PC Pediatrics CurrentSince May 1, 2026 Accepting new patients
Providence General Medicine, PC PastSince Sep 24, 2022 Accepting new patients

Locations

20221 N 67th Ave
Ste E3
Glendale, AZ 85308
Phone (602) 371-4978

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1801905823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20221 N 67TH AVE STE E3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080602",
            "telephone_number": "623-462-1981",
            "fax_number": "623-400-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20221 N 67TH AVE STE E3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080602",
            "telephone_number": "623-462-1981",
            "fax_number": "623-400-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLEY",
        "first_name": "YOLANDA",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "2229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.