Individual provider Active NPI

Ashley Ann Rea, P.A.

  • Physician Assistant
  • Tulsa, OK
National Provider Identifier
1053610568
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2002 Issued in OK
Practice address
1245 S Utica Ave FL 2
Tulsa, OK 74104
Phone
(918) 579-2300
Fax
(918) 579-2309
NPI assigned
Mar 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2002 OK Primary

Addresses

Primary practice location

1245 S Utica Ave FL 2
Tulsa, OK 74104

Mailing address

1809 E 13TH St Ste 402
Tulsa, OK 74104-4431
Phone (918) 579-2300

Other practice location 1

1245 S Utica Ave Fl 2
Tulsa, OK 74104-4214
Phone (918) 579-2300

Other identifiers 1

IdentifierTypeStateIssuer
200327040AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1145 S Utica Ave
Suite 110
Tulsa, OK 74104-4013

1245 S Utica Ave
FL 2
Tulsa, OK 74104-4200

1245 S Utica Ave
FL 2
Tulsa, OK 74104-4214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2002OKMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: abruce106855@ahs.direct-ci.com

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1053610568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E 13TH ST STE 402",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044431",
            "telephone_number": "918-579-2300",
            "fax_number": "918-579-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S UTICA AVE FL 2",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-579-2300",
            "fax_number": "918-579-2309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 S Utica Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741044214",
            "country_code": "US",
            "telephone_number": "918-579-2300",
            "fax_number": "918-579-2309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REA",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200327040A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.