Individual provider Active NPI

Ashley Harris

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1124578513
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
020252 Issued in OH
Practice address
234 Goodman St
Cincinnati, OH 45219-2364
Phone
(513) 558-5281
Fax
(513) 558-5791
NPI assigned
Oct 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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 020252 OH Primary

Addresses

Primary practice location

234 Goodman St
Cincinnati, OH 45219-2364

Mailing address

PO Box 636256
Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 585-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IN, FL, IL, NY, MA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20250820004531 NC Practitioner - Nurse Practitioner 4688954431 Reassigns benefits to 1 organization
I20251023004044 IN Practitioner - Nurse Practitioner 4688954431 Reassigns benefits to 1 organization
I20251126000009 FL Practitioner - Nurse Practitioner 4688954431 Reassigns benefits to 1 organization
I20260127001083 IL Practitioner - Nurse Practitioner 4688954431 Reassigns benefits to 1 organization
I20260310003184 NY Practitioner - Nurse Practitioner 4688954431 Reassigns benefits to 1 organization
I20260310003315 MA Practitioner - Nurse Practitioner 4688954431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

495 Flatbush Ave
Brooklyn, NY 11225-3706

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020252OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cityblock Ipa Ny, LLC CurrentSince Mar 1, 2026 Accepting new patients
Oluwatoyin Ajayi Medical Practice, PC CurrentSince Mar 1, 2026 Accepting new patients
Cityblock Medical Practice, P.a. CurrentSince May 2, 2025 Accepting new patients
Summit Medical Group, PLLC PastSince Sep 8, 2020 Accepting new patients

Locations

15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529

16115 La Salle St
South Holland, IL 60473
Phone (347) 463-5529

2301 N Meridian St
Indianapolis, IN 46208
Phone (317) 602-5610

100 Grove St
Ste 115
Worcester, MA 01605
Phone (347) 463-5529

186 N Main St
Fl 2
Plymouth, MI 48170
Phone (248) 602-3303

186 N Main St
Ste 1
Plymouth, MI 48170

4444 The Plaza
Unit 18
Charlotte, NC 28215

1259 Bedford Ave
Brooklyn, NY 11216
Phone (347) 463-5529

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

Interoperability endpoints

  • Direct secure messaging: ashley.harris.1@27775.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": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1124578513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "address_2": "CENTRAL CREDENTIALING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-5505",
            "fax_number": "513-585-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-558-5281",
            "fax_number": "513-558-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "020252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.