Individual provider Active NPI

Ashley Harris, AGPCNP-C

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1104297035
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1035835 Issued in TX
Practice address
13376 Research Blvd Ste 110
Austin, TX 78750-2257
Phone
(512) 219-0129
Fax
(512) 219-0393
NPI assigned
Oct 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1035835 TX Primary

Addresses

Primary practice location

13376 Research Blvd Ste 110
Austin, TX 78750-2257

Mailing address

13376 Research Blvd Ste 110
Austin, TX 78750-2257
Phone (512) 219-0129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190128002095 CA Practitioner - Nurse Practitioner 4688911761 Reassigns benefits to 1 organization
I20210820000514 TX Practitioner - Nurse Practitioner 4688911761 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1035835TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 13, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 13, 2018 Accepting new patients
Wellmed Medical Group, PA CurrentSince Sep 1, 2021 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Sep 1, 2021 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

675 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 585-4120

13376 Research Blvd
Ste 110
Austin, TX 78750
Phone (512) 219-0129

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: ashley.harris@478600780382212.direct.elationemr.com
  • Direct secure messaging: ashley.harris.1@33969.direct.athenahealth.com

Organizations & group practices 4

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": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1104297035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13376 RESEARCH BLVD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502257",
            "telephone_number": "512-219-0129",
            "fax_number": "512-219-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13376 RESEARCH BLVD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502257",
            "telephone_number": "512-219-0129",
            "fax_number": "512-219-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1035835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.