Active NPI
Ashley Bianca Noble, OD
- Optometrist
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP5523
- Practice address
- 9910 Pines Blvd
Pembroke Pines, FL 33024-6139 - Phone
- (954) 430-3808
- NPI assigned
- Jun 21, 2018
- Last updated
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP5523 | FL | Primary |
Addresses
Primary practice location
9910 Pines Blvd
Pembroke Pines, FL 33024-6139
Mailing address
11990 Kalmar Cir N
Parkland, FL 33076-4665
Other practice location 1
706 W Boynton Beach Blvd
Boynton Beach, FL 33426-3649
Phone (561) 738-1700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Potomac Ave
Alexandria, VA 22305-3084
Phone (703) 721-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP5523 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Stanley D Braverman MD LLC | Optometrist | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Optometrist | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Optometrist | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients |
Locations
1050 N Federal Hwy
Hollywood, FL 33020
Phone (954) 458-2112
4000 Garden City Dr
Fl 4
Hyattsville, MD 20785
Phone (227) 229-8532
2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
3000 Potomac Ave
Alexandria, VA 22305
Phone (703) 721-6000
14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000
Interoperability endpoints
- ashley.noble.1@14931.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba Kaiser Permanente Annapolis Medical Center
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Optometrist
-
dba Braverman Eye Center
- Ophthalmology Physician
- Hollywood, FL
- NPI 1265586127
Optometrist
-
dba Kaiser Permanente Loudoun Medical Center
- Health Maintenance Organization
- Lansdowne, VA
- NPI 1861552721
Optometrist
-
dba Kaiser Permanente Capitol Hill Medical Center
- Health Maintenance Organization
- Washington, DC
- NPI 1093016933
-
dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1275027245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11990 KALMAR CIR N",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330764665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9910 PINES BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246139",
"telephone_number": "954-430-3808"
}
],
"practiceLocations": [
{
"address_1": "706 W Boynton Beach Blvd",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334263649",
"country_code": "US",
"telephone_number": "561-738-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOBLE",
"first_name": "ASHLEY",
"middle_name": "BIANCA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-21",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OP5523",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "706 W Boynton Beach Blvd",
"city": "Boynton Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334263649",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.