Active NPI
Ashley Brooke Deaton, APRN, FNP-C
- Family Nurse Practitioner
- South Pasadena, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11003073
- Practice address
- 1501 Pasadena Ave S
South Pasadena, FL 33707-3717 - Phone
- (252) 671-1108
- NPI assigned
- Jul 9, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11003073 | FL | Primary |
Addresses
Primary practice location
1501 Pasadena Ave S
South Pasadena, FL 33707-3717
Mailing address
801 W Bay Dr Ste 605
Largo, FL 33770-3268
Phone (252) 671-1108
Other practice location 1
701 6th St S
Saint Petersburg, FL 33701-4814
Phone (727) 823-1234
Other practice location 2
1200 7th Ave N
Saint Petersburg, FL 33705-1300
Phone (727) 825-1100
Other practice location 3
201 14th St SW
Largo, FL 33770-3133
Phone (252) 671-1108
Other names 1
- Ashley Brooke Moore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 W Bay Dr
Suite 605
Largo, FL 33770-3268
Phone (727) 489-3305
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11003073 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Based Long Term Care F PC | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients |
Locations
5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264
801 West Bay Dr
Ste 605
Largo, FL 33770
Phone (727) 489-3305
Interoperability endpoints
- amoore188932@orlandohealth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Largo, FL
- NPI 1831921360
-
- Multi-Specialty Clinic/Center
- Largo, FL
- NPI 1881942779
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1508418740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W BAY DR STE 605",
"city": "LARGO",
"state": "FL",
"postal_code": "337703268",
"telephone_number": "252-671-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 PASADENA AVE S",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337073717",
"telephone_number": "252-671-1108"
}
],
"practiceLocations": [
{
"address_1": "701 6th St S",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337014814",
"country_code": "US",
"telephone_number": "727-823-1234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 7th Ave N",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337051300",
"country_code": "US",
"telephone_number": "727-825-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 14th St SW",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337703133",
"country_code": "US",
"telephone_number": "252-671-1108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEATON",
"first_name": "ASHLEY",
"middle_name": "BROOKE",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-09",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11003073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "MOORE",
"middle_name": "BROOKE",
"credential": "APRN, FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in South Pasadena, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.