Individual provider Active NPI

Ashley Marie Sudore

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1316786171
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05240432 Issued in FL
Practice address
7653 Ginger Lily CT
Tampa, FL 33619-6920
Phone
(813) 344-7672
NPI assigned
May 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X F05240432 FL Primary

Addresses

Primary practice location

7653 Ginger Lily CT
Tampa, FL 33619-6920

Mailing address

7653 Ginger Lily CT
Tampa, FL 33619-6920
Phone (813) 344-7672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250403002003 FL Practitioner - Nurse Practitioner 6608390323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unique Healthcare Systems, LLCGroup PAC ID 5496058422, 39 clinicians

Practice addresses (Care Compare)

7101 US Hwy 19 N
Pinellas Park, FL 33781-4607
Phone (727) 201-8585

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F05240432FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Healthcare Systems LLC Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Cardiothoracic Surgery of Hyde Park Inc Multi-Specialty CurrentSince Mar 13, 2025 Accepting new patients
Docs Outside the Box Multi-Specialty PastSince Mar 13, 2025 Accepting new patients
Unique Management Group PastSince Mar 1, 2025 Accepting new patients

Locations

7101 US Highway 19 N
Pinellas Park, FL 33781
Phone (727) 201-8585

8950 Martin Luther King St N
Ste 102
St Petersburg, FL 33702
Phone (727) 498-8898

301 W Platt St
Ste 24
Tampa, FL 33606

Interoperability endpoints

  • Direct secure messaging: cardiothoracicsurgeryofhydepark.ashleysudore@149057.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1316786171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7653 GINGER LILY CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196920",
            "telephone_number": "813-344-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7653 GINGER LILY CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196920",
            "telephone_number": "813-344-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDORE",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F05240432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.