Ashley Shields

Primary specialty

SpecialistTaxonomy code 174400000X

License

5108784 Issued in PA

Practice address

40 Centre Dr
Orchard Park, NY 14127-4100

Phone

(716) 667-2294

NPI assigned

Aug 18, 2021

Last updated

Aug 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Wiskup Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1508532755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CENTRE DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274100",
            "telephone_number": "716-667-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CENTRE DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274100",
            "telephone_number": "716-667-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "5108784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shieldsashley96@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "40 Centre Dr",
            "city": "Orchard Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "141274100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WISKUP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joan Barbara Shelden, P.T.
• Matthew James Sheldon, MD
• Lindsey Shelley
• Andrew Shepheard, CASAC-T
• Katrina Sherwood
• Shirley a. Conrad Inc
• Laura Wynn Shucard, MSW
• Rebecca Shuskie, NP
• Nathaniel Simmons
• Zachary Simons, DMS, PA-C

• Specialist in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.