Individual provider Active NPI

Asia Ariel Culbreth

  • Developmental Therapist
  • Fort Myers, FL
National Provider Identifier
1558722058
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
9445 Ivy Brook Run Apt 1110
Fort Myers, FL 33913-7767
Phone
(727) 871-5345
NPI assigned
Mar 10, 2016
Last updated
Aug 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X FL Primary

Addresses

Primary practice location

9445 Ivy Brook Run Apt 1110
Fort Myers, FL 33913-7767

Mailing address

8961 Daniels Center Dr Ste 401
Fort Myers, FL 33912-0314
Phone (727) 871-5345

Other names 1

  • Mrs. Asia Ariel Williams Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1558722058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8961 DANIELS CENTER DR STE 401",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120314",
            "telephone_number": "727-871-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 IVY BROOK RUN APT 1110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339137767",
            "telephone_number": "727-871-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBRETH",
        "first_name": "ASIA",
        "middle_name": "ARIEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASIA",
            "last_name": "WILLIAMS",
            "middle_name": "ARIEL",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.