Individual provider Active NPI

Ashlee Diane Dugger, NP

  • Gerontology Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1215397898
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP130073 Issued in TX
Practice address
1139 E Sonterra Blvd
Suite 300
San Antonio, TX 78258-4347
Phone
(210) 499-0770
Fax
(210) 499-0750
NPI assigned
Feb 25, 2016
Last updated
Feb 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP130073 TX Primary

Addresses

Primary practice location

1139 E Sonterra Blvd
Suite 300
San Antonio, TX 78258-4347

Mailing address

1139 E Sonterra Blvd
Suite 300
San Antonio, TX 78258-4347
Phone (210) 499-0770

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160412002447 TX Practitioner - Nurse Practitioner 4284932039 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP130073TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer D. Brody MD PA CurrentSince Mar 1, 2016 Accepting new patients
David Salazar, M.D., P.a. CurrentSince Mar 1, 2016 Accepting new patients

Locations

1139 E Sonterra Blvd
Ste 300
San Antonio, TX 78258
Phone (210) 481-3119

19026 Stone Oak Pkwy
Ste 100
San Antonio, TX 78258
Phone (210) 496-2669

19141 Stone Oak Pkwy
Ste 104
San Antonio, TX 78258
Phone (210) 756-5989

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, 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": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1215397898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD",
            "address_2": "SUITE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584347",
            "telephone_number": "210-499-0770",
            "fax_number": "210-499-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD",
            "address_2": "SUITE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584347",
            "telephone_number": "210-499-0770",
            "fax_number": "210-499-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGER",
        "first_name": "ASHLEE",
        "middle_name": "DIANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP130073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.