Ashley Ann Pontenberg, APRN, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9237068 Issued in FL

Practice address

917 N Pennsylvania Ave
Winter Park, FL 32789-2456

Phone

(813) 361-2394

NPI assigned

Dec 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1355011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1255676896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 ASHLEY OAKS CIR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446435",
            "telephone_number": "813-991-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N PENNSYLVANIA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892456",
            "telephone_number": "813-361-2394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N Orange St",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "321687027",
            "country_code": "US",
            "telephone_number": "813-361-2394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONTENBERG",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-09",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9237068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.