Individual provider Active NPI

Ashley Laura McCoy, PA

  • Physician Assistant
  • Renton, WA
National Provider Identifier
1437792033
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61172807 Issued in WA
Practice address
64 Rainier Ave S
Renton, WA 98057-2047
Phone
(888) 663-6331
NPI assigned
Oct 26, 2019
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 58399 CA
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 61172807 WA
Physician Assistant 363A00000X PA61172807 WA Primary

Addresses

Primary practice location

64 Rainier Ave S
Renton, WA 98057-2047

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

10221 156th St E Ste P1-102
Puyallup, WA 98374-9308
Phone (253) 799-1246

Other practice location 2

1314 Central Ave S Ste 102
Kent, WA 98032-7430
Phone (253) 397-8683

Other practice location 3

1310 Club Dr
Vallejo, CA 94592-1187
Phone (707) 638-5808

Other practice location 4

2 W Portal Ave
San Francisco, CA 94127-1304
Phone (888) 663-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201102001403 CA Practitioner - Physician Assistant 9133539299 Reassigns benefits to 1 organization
I20211206001559 WA Practitioner - Physician Assistant 9133539299 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

1600 7TH Ave
Suite 110
Seattle, WA 98101-2288
Phone (888) 663-6331

970 Denny Way
Seattle, WA 98109-5201
Phone (888) 663-6331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58399CAMDPhysician Assistant
61172807WAMDPhysician Assistant
PA61172807WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Washington Physicians, P.C. CurrentSince Jun 23, 2025 Accepting new patients
Iora Health Washington Physicians, P.C. CurrentSince Jun 23, 2025 Accepting new patients
One Medical Group, Inc. Single Specialty CurrentSince Jun 26, 2025 Accepting new patients
Iora Senior Health, LLC CurrentSince Jun 23, 2025 Accepting new patients
Iora Senior Health, LLC CurrentSince Jun 23, 2025 Accepting new patients
One Medical Group, Inc Single Specialty CurrentSince Oct 1, 2024 Accepting new patients

Locations

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

2 Embarcadero Ctr
Lbby LL5
San Francisco, CA 94111

2 West Portal Ave
San Francisco, CA 94127
Phone (415) 291-0489

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

3705 S Meridian
Ste B
Puyallup, WA 98373
Phone (253) 765-5050

64 Rainier Ave S
Ste I
Renton, WA 98057
Phone (425) 224-2144

1600 7th Ave
Ste 110
Seattle, WA 98101
Phone (206) 267-4390

15214 Aurora Ave N
Shoreline, WA 98133
Phone (206) 518-9021

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1437792033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 RAINIER AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572047",
            "telephone_number": "888-663-6331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10221 156th St E Ste P1-102",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983749308",
            "country_code": "US",
            "telephone_number": "253-799-1246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 Central Ave S Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980327430",
            "country_code": "US",
            "telephone_number": "253-397-8683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Club Dr",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945921187",
            "country_code": "US",
            "telephone_number": "707-638-5808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 W Portal Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941271304",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ASHLEY",
        "middle_name": "LAURA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-26",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58399",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "61172807",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61172807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.