Individual provider Active NPI

Ashley Lynn Raum Henderson, N.P.

  • Family Nurse Practitioner
  • Santa Barbara, CA
National Provider Identifier
1104258268
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23312 Issued in CA
Practice address
Student Health Service Ucsb M/C 7002
Santa Barbara, CA 93106-1851
Phone
(805) 893-3087
Fax
(805) 893-4911
NPI assigned
Jul 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23312 CA Primary

Addresses

Primary practice location

Student Health Service Ucsb M/C 7002
Santa Barbara, CA 93106-1851

Mailing address

Student Health Service Ucsb M/C 7002
Santa Barbara, CA 93106-7002
Phone (805) 893-3087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140711002058 CA Practitioner - Nurse Practitioner 6800011529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottage Clinical Network LLCGroup PAC ID 1850712530, 57 clinicians

Practice addresses (Care Compare)

1606 E Clark Ave
Suite 2
Santa Maria, CA 93455-7507
Phone (805) 569-7351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Indian Health & Services Corporation CurrentSince Jun 3, 2014 Accepting new patients
Cottage Clinical Network, LLC CurrentSince Jul 6, 2021 Accepting new patients
Cottage Medical Associates Past Accepting new patients

Locations

328 McMurray Rd
Ste 102
Buellton, CA 93427
Phone (805) 688-2600

7070 Hollister Ave
Ste C23
Goleta, CA 93117

7070 Hollister Ave
Ste 103
Goleta, CA 93117
Phone (805) 324-9270

1606 E Clark Ave
#102
Orcutt, CA 93455

3970 Broad St
Ste 2
San Luis Obispo, CA 93401
Phone (805) 762-4996

777 E Foothill Blvd
San Luis Obispo, CA 93405
Phone (805) 762-4348

5652 Calle Real
Santa Barbara, CA 93117
Phone (805) 641-6033

4141 State St
Ste B2
Santa Barbara, CA 93110
Phone (805) 681-7144

4141 State St
Ste B6
Santa Barbara, CA 93110
Phone (805) 681-7144

1298 Coast Village Rd
Santa Barbara, CA 93108
Phone (805) 565-1565

4141 State St
Ste B11
Santa Barbara, CA 93110
Phone 8056817144 ext. 216

3885 State St
Ste A
Santa Barbara, CA 93105
Phone (805) 569-7351

1846 N Broadway
#A
Santa Maria, CA 93454
Phone (805) 361-4279

1606 E Clark Ave
Ste 2
Santa Maria, CA 93455

3596 Skyway Dr
Ste A
Santa Maria, CA 93455

1708 S Victoria Ave
Ste D
Ventura, CA 93003
Phone (805) 290-4985

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1104258268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STUDENT HEALTH SERVICE UCSB M/C 7002",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931067002",
            "telephone_number": "805-893-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STUDENT HEALTH SERVICE UCSB M/C 7002",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931061851",
            "telephone_number": "805-893-3087",
            "fax_number": "805-893-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ASHLEY",
        "middle_name": "LYNN RAUM",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.