Individual provider Active NPI

Ariel Ascroft, P.A.

  • Physician Assistant
  • Melbourne, FL
National Provider Identifier
1366846289
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108300 Issued in FL
Practice address
402 N Babcock St Ste 102
Melbourne, FL 32935-7335
Phone
(321) 241-6540
Fax
(321) 428-4442
NPI assigned
Oct 21, 2014
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108300 FL Primary

Addresses

Primary practice location

402 N Babcock St Ste 102
Melbourne, FL 32935-7335

Mailing address

402 N Babcock St Ste 102
Melbourne, FL 32935-7335
Phone (321) 241-6540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1366846289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N BABCOCK ST STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357335",
            "telephone_number": "321-241-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N BABCOCK ST STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357335",
            "telephone_number": "321-241-6540",
            "fax_number": "321-428-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASCROFT",
        "first_name": "ARIEL",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.