Individual provider Active NPI

Ashley Brubaker, LMSW, PMH-C, IBCLC

  • Social Worker
  • Gilbert, AZ
National Provider Identifier
1497514905
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-17966 Issued in AZ
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

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LMSW-17966AZMDSocial Worker
L-314945AZMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Pediatrics, Inc CurrentSince Mar 31, 2024 Accepting new patients
Canyon Pediatrics, Inc CurrentSince Mar 24, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.