Jeffrey Donald Paul, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP9905 Issued in AZ

Practice address

9305 W Thomas Rd Ste 235
Phoenix, AZ 85037-3363

Phone

(623) 327-7131

NPI assigned

Oct 9, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Banner Occupational Health Arizona LLC

  • Occupational Medicine Clinic/Center
  • Phoenix, AZ
  • NPI 1144572611
  NPD (past)

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1831593557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 W STRAIGHT ARROW LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850839311",
            "telephone_number": "630-688-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 235",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373363",
            "telephone_number": "623-327-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JEFFREY",
        "middle_name": "DONALD",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-09",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "AZ",
            "license": "AP9905",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Paul
• David Michael Paul, MD
• Edmond Natale Paul
• Edward G Paul, MD
• Jacquelynn Patrice Paul, MS
• Michele Denise Paul, APN
• Myesha Paul
• Nevin John Paul
• Rachel Diann Paul, DNP, CRNA
• Rajan Lazar Paul

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.