Ashley Marie Williams, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9114521 Issued in FL

Practice address

12609 Rockrose GLN
Lakewood Ranch, FL 34202-2835

Phone

(941) 545-4439

NPI assigned

Apr 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ashley Speaker Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Mid-Florida Psychiatry Center PL

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Davenport, FL
  • NPI 1376599472
  Medicare reassignment

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1144801887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 AMBROSIA LN",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123054",
            "telephone_number": "941-545-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12609 ROCKROSE GLN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022835",
            "telephone_number": "941-545-4439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3661 AMBROSIA LN",
            "address_purpose": "LOCATION",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123054",
            "country_code": "US",
            "telephone_number": "941-545-4439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9114521",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SPEAKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Whitworth, LMHC
• Whole Health Pediatrics, LLC
• Whole Health Premier Medical Group LLC
• Jessica Wians
• Anna M Widmyer, M.D.
• Kerry Lynn Williams, NP
• Sharla Dawn Williams, L.M.T., C.N.M.T.
• Tanya Velma Lorrane Williams
• Boguslawa Bornik Wilson, RMHI
• Michael J Winicki, PT

• Medical Physician Assistant in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.