Individual provider Active NPI

Ashley Brooke Seguna

  • Family Nurse Practitioner
  • Cocoa Beach, FL
National Provider Identifier
1518571983
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015545 Issued in FL
Practice address
30 Woodland Ave Ste a
Cocoa Beach, FL 32931-2886
Phone
(321) 613-2004
Fax
(321) 613-2031
NPI assigned
Sep 3, 2020
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11015545 FL Primary

Addresses

Primary practice location

30 Woodland Ave Ste a
Cocoa Beach, FL 32931-2886

Mailing address

30 Woodland Avenue
Ste a
Cocoa Beach, FL 32931-2886
Phone (321) 613-2004

Other practice location 1

12201 Research Pkwy Ste 300
Orlando, FL 32826-3265
Phone (407) 823-2744

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230512002581 FL Practitioner - Nurse Practitioner 7719343920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocket Health Care LLCGroup PAC ID 5294191565, 2 clinicians

Practice addresses (Care Compare)

30 Woodland Ave
Suite a
Cocoa Beach, FL 32931-2886
Phone (321) 613-2004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015545FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocket Health Care LLC CurrentSince Apr 3, 2023 Accepting new patients

Locations

30 Woodland Ave
Ste A
Cocoa Beach, FL 32931
Phone (321) 613-2004

260 N Tropical Trl
Ste 104
Merritt Island, FL 32953
Phone (321) 613-2004

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1518571983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WOODLAND AVENUE",
            "address_2": "STE A",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312886",
            "telephone_number": "321-613-2004",
            "fax_number": "321-613-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WOODLAND AVE STE A",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312886",
            "telephone_number": "321-613-2004",
            "fax_number": "321-613-2031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12201 Research Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328263265",
            "country_code": "US",
            "telephone_number": "407-823-2744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGUNA",
        "first_name": "ASHLEY",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.