Active NPI
Ashley Nichole Gollery, APRN, FNP-BC
- Nurse Practitioner
- Vero Beach, FL
National Provider Identifier
1053082149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11014084
- Practice address
- 3730 7TH Ter Ste 101
Vero Beach, FL 32960-6556 - Phone
- (772) 581-0528
- NPI assigned
- Sep 28, 2021
- Last updated
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11014084 | FL | Primary |
Addresses
Primary practice location
3730 7TH Ter Ste 101
Vero Beach, FL 32960-6556
Mailing address
102 E Flora St
Tampa, FL 33604-5523
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11014084 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1053082149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 E FLORA ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336045523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 7TH TER STE 101",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606556",
"telephone_number": "772-581-0528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLLERY",
"first_name": "ASHLEY",
"middle_name": "NICHOLE",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11014084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.