Individual provider Active NPI

Ashley Candice Sooklal, D.C.

  • Chiropractor
  • New Port Richey, FL
National Provider Identifier
1205382322
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11951 Issued in FL
Practice address
1820 Wellness LN BLDG 4
New Port Richey, FL 34655-5357
Phone
(727) 264-8888
NPI assigned
Aug 29, 2016
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11951 FL Primary

Addresses

Primary practice location

1820 Wellness LN BLDG 4
New Port Richey, FL 34655-5357

Mailing address

4104 W Linebaugh Ave
Tampa, FL 33624-5239
Phone (813) 229-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170509001516 FL Practitioner - Chiropractic 1850678459 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Family Chiropractic, P.a. Chiropractor CurrentSince Sep 1, 2020 Accepting new patients
Essential Integrative Medicine LLC PastSince Oct 20, 2012 Accepting new patients
Tran Chiropractic & Wellness Center Inc Chiropractor PastSince Sep 19, 2007 Accepting new patients
Active Family Chiropractic, P.a. Chiropractor PastSince Nov 8, 2020 Accepting new patients

Locations

11232 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 925-9700

Interoperability endpoints

  • Direct secure messaging: doctorsooklal@direct.meditouchehr.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1205382322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245239",
            "telephone_number": "813-229-2225",
            "fax_number": "813-221-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 WELLNESS LN BLDG 4",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555357",
            "telephone_number": "727-264-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOKLAL",
        "first_name": "ASHLEY",
        "middle_name": "CANDICE",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.