Individual provider Active NPI

Ashley Nicole Cordova, N.P.-C

  • Family Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1144766767
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006028 Issued in CA
Practice address
3345 Michelson Dr Ste 100
Irvine, CA 92612-0693
Phone
(855) 229-0693
NPI assigned
Jan 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202100570NP-PP OR
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-173714 MT
Family Nurse Practitioner 363LF0000X AP61052040 WA
Family Nurse Practitioner 363LF0000X 95006028 CA Primary

Addresses

Primary practice location

3345 Michelson Dr Ste 100
Irvine, CA 92612-0693

Mailing address

3345 Michelson Dr Ste 100
Irvine, CA 92612-0693
Phone (855) 229-6460

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address acordova1154868@oc.providencedirect.org
Direct Messaging Address acordova1154868@oc.providencedirect.org

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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95006028CAMDFamily Nurse Practitioner
NUR-APRN-LIC-173714MTMDFamily Nurse Practitioner
AP61052040WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington Past Accepting new patients
Express Care Ak LLC PastSince Apr 19, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: acordova1154868@oc.providencedirect.org

Organizations & group practices 2

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": "1483747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1144766767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 MICHELSON DR STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120693",
            "telephone_number": "855-229-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 MICHELSON DR STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120693",
            "telephone_number": "855-229-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "N.P.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-07",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202100570NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-173714",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61052040",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acordova1154868@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "600 Newport Center Dr Ste 150",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926606418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acordova1154868@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1575 S Harbor Blvd Ste 48",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928323402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.