Ashley Dawn Fitzpatrick, PA
Individual provider Active NPI Physician Assistant · Basalt, CO
NPI 1265831341 · NPPES record last updated Feb 11, 2021
Key facts
- NPI
- 1265831341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA.0004100 (CO)
- Practice address
- 1450 E Valley Rd Unit 102
Basalt, CO 81621-8352 - Phone
- (980) 927-4666
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0004100 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midvalley Family Practice PC | Past | Accepting new patients | |
| Healthone Clinic Services - Pediatric Specialties LLC | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- ashley.fitzpatrick.1@19942.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0004100 | CO | Yes |
| Physician Assistant | 363A00000X | 4100 | CO |
Addresses
Primary practice location
1450 E Valley Rd Unit 102
Basalt, CO 81621-8352
Mailing address
1450 E Valley Rd Unit 102
Basalt, CO 81621-8352
Phone (980) 424-4779
Other providers in Basalt, CO
- Essential Body Care
- Extreme Sports Camp
- Craig Farnum
- Amanda Danielle Smith Fierstein
- David N Fishman
- Megan Jean Forrest
- Lauren Fouch
- Alyssa Franklin
- James Russell Fraser III
- Kristine Gatdula
All providers in Basalt, CO · Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.