Active NPI
Ashley Rudnick
- Dermatology Physician
- Pinecrest, FL
National Provider Identifier
1427914266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 9654365
- Practice address
- 7700 SW 104TH St
Pinecrest, FL 33156-3149 - Phone
- (305) 279-7546
- NPI assigned
- Dec 24, 2025
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 9654365 | FL | Primary |
Addresses
Primary practice location
7700 SW 104TH St
Pinecrest, FL 33156-3149
Mailing address
15095 SW 113TH Ter
Miami, FL 33196-4306
Phone (786) 369-9145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9654365 | FL | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766534400000",
"number": "1427914266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15095 SW 113TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331964306",
"telephone_number": "786-369-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 SW 104TH ST",
"city": "PINECREST",
"state": "FL",
"postal_code": "331563149",
"telephone_number": "305-279-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDNICK",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-24",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "FL",
"license": "9654365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinecrest, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.