Active NPI
Ashley Brubaker, LMSW, PMH-C, IBCLC
- Social Worker
- Gilbert, AZ
National Provider Identifier
1497514905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-17966
- Practice address
- 2451 E Baseline Rd Ste 200
Gilbert, AZ 85234-2405 - Phone
- (480) 507-2199
- NPI assigned
- Mar 18, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-314945 | AZ | |
| Social Worker | 104100000X | LMSW-17966 | AZ | Primary |
Addresses
Primary practice location
2451 E Baseline Rd Ste 200
Gilbert, AZ 85234-2405
Mailing address
2451 E Baseline Rd Ste 200
Gilbert, AZ 85234-2405
Phone (480) 507-2199
Other practice location 1
815 E University Dr
Mesa, AZ 85203-8032
Phone (480) 507-2199
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-17966 | AZ | MD | Social Worker |
| L-314945 | AZ | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon Pediatrics, Inc | Current | Accepting new patients | |
| Canyon Pediatrics, Inc | Current | Accepting new patients |
Locations
2451 E Baseline Rd
Ste 200
Gilbert, AZ 85234
Phone (480) 507-2199
815 E University Dr
Mesa, AZ 85203
Phone (480) 507-2199
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBGIBD
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.
-
- Pediatrics Physician
- Gilbert, AZ
- NPI 1053176677
-
- Primary Care Clinic/Center
- Gilbert, AZ
- NPI 1831185362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1497514905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 E BASELINE RD STE 200",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342405",
"telephone_number": "480-507-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 E BASELINE RD STE 200",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342405",
"telephone_number": "480-507-2199"
}
],
"practiceLocations": [
{
"address_1": "815 E University Dr",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852038032",
"country_code": "US",
"telephone_number": "480-507-2199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUBAKER",
"first_name": "ASHLEY",
"credential": "LMSW, PMH-C, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "AZ",
"license": "L-314945",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LMSW-17966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.