Ashli Kubista, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

805192 Issued in TX

Practice address

1400 8TH Ave
Fort Worth, TX 76104-4110

Phone

(817) 926-2544

NPI assigned

Sep 20, 2022

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Registered Nurse

State licenses

Practice roles

Locations

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.

• Pediatrix Medical Group of Texas Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Houston, TX
  • NPI 1649377359
  Medicare reassignment NPD
• Macarthur Medical Center, PLLC

  • Obstetrics & Gynecology Physician
  • Euless, TX
  • NPI 1326320367
  Medicare reassignment
• Macarthur Medical Center, PLLC

  • Obstetrics & Gynecology Physician
  • Irving, TX
  • NPI 1497982268

  Advanced Practice Midwife

  NPD

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1144943689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 TRAIL RIDGE DR",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761269526",
            "telephone_number": "817-805-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044110",
            "telephone_number": "817-926-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBISTA",
        "first_name": "ASHLI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "1099339",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "805192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellisa Krumm, MD
• Jonas Kruse
• KTV Dental , PA
• Harlington Peter Ku, D.D.S, P.A.
• Jacques Kubaluka
• Rachel Christine Kuchem, LCSW
• Dhaatri Kuchipudi, DO
• Abdulla Kudrath, M.D.
• Shanthini Kuduva Rajan, MD
• Ryan Andrew Kuehnle, MD

• Registered Nurse in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.