Ashley Ammons
Individual provider Active NPI Specialist · Arvada, CO
NPI 1275914251 · NPPES record last updated Jun 15, 2015
Key facts
- NPI
- 1275914251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MT.0016698 (CO)
- Practice address
- 11890 W 64TH Ave
Arvada, CO 80004-4324 - Phone
- (303) 423-6091
- NPI assigned
- Jun 15, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0016698 | CO | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT.0016698 | CO | Yes |
Addresses
Primary practice location
11890 W 64TH Ave
Arvada, CO 80004-4324
Mailing address
11890 W 64TH Ave
Arvada, CO 80004-4324
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2015. 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.