Active NPI
Ashlee Ann Kareus Pruett, D.O.
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1487911491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 007317
- Practice address
- 5110 N 44TH St Ste L200
Phoenix, AZ 85018-1675 - Phone
- (602) 343-2900
- Fax
- (602) 343-2901
- NPI assigned
- Apr 13, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 007317 | AZ | Primary |
Addresses
Primary practice location
5110 N 44TH St Ste L200
Phoenix, AZ 85018-1675
Mailing address
1380 W Windhaven Ave
Gilbert, AZ 85233-5145
Phone (970) 201-1858
Other names 1
- Ashlee Gross
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007317 | AZ | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1487911491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 W WINDHAVEN AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335145",
"telephone_number": "970-201-1858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5110 N 44TH ST STE L200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850181675",
"telephone_number": "602-343-2900",
"fax_number": "602-343-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUETT",
"first_name": "ASHLEE",
"middle_name": "ANN KAREUS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "007317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEE",
"last_name": "GROSS",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.