Individual provider Active NPI

Ashton Shea Avila, WHNP-BC

  • Women's Health Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1497021885
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
763664 Issued in TX
Practice address
7121 Spid Dr Ste 118
Corpus Christi, TX 78412-4946
Phone
(361) 694-6054
Fax
(361) 980-1248
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 763664 TX Primary

Addresses

Primary practice location

7121 Spid Dr Ste 118
Corpus Christi, TX 78412-4946

Mailing address

7121 Spid Dr Ste 200
Corpus Christi, TX 78412-4940
Phone (361) 993-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150407000439 TX Practitioner - Nurse Practitioner 7315178779 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Physician Services of South Texas Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ashton.avila.1@17806.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1497021885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 SPID DR STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124940",
            "telephone_number": "361-993-6000",
            "fax_number": "361-993-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 SPID DR STE 118",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124946",
            "telephone_number": "361-694-6054",
            "fax_number": "361-980-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "ASHTON",
        "middle_name": "SHEA",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "763664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.