Gregory Oxendale, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN190404 Issued in AZ

Practice address

9010 S Priest Dr Apt 1200
Tempe, AZ 85284-1077

Phone

(602) 565-1090

NPI assigned

Nov 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1932701794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 S PRIEST DR APT 1200",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841077",
            "telephone_number": "602-565-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 S PRIEST DR APT 1200",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841077",
            "telephone_number": "602-565-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXENDALE",
        "first_name": "GREGORY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "RN190404",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN190404",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN190404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A Ovanessoff, MD
• Jessica Overson
• Christine Marion Owen Carron, RN
• Owens Insurance Services, Inc
• Mary Elizabeth Owens, NP
• Robert Thomas Oyster, RPH
• P and T Committee, LLC
• Carolyn Beth Pace, M.D.
• Philip Pace, PT, DPT
• Andrea Pacheco-Amaro

• Psychiatric/Mental Health Registered Nurse in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychiatric/Mental Health Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.