Active NPI
Ashley Nicole Cordova, N.P.-C
- Family Nurse Practitioner
- Irvine, CA
National Provider Identifier
1144766767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95006028
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95006028 | CA | MD | Family Nurse Practitioner |
| NUR-APRN-LIC-173714 | MT | MD | Family Nurse Practitioner |
| AP61052040 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Washington | Past | Accepting new patients | |
| Express Care Ak LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Clinic/Center
- Eagle River, AK
- NPI 1376003095
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Hoquiam, WA
- NPI 1043374119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.