Individual provider Active NPI

Ashley Dorazio, RDMS, MA

  • Sonography Radiologic Technologist
  • Daytona Beach, FL
National Provider Identifier
1609536200
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
245350
Practice address
1667 N Clyde Morris Blvd Ste 2
Daytona Beach, FL 32117-5500
Phone
(386) 274-1414
Fax
(386) 256-3008
NPI assigned
Dec 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 245350 Primary

Addresses

Primary practice location

1667 N Clyde Morris Blvd Ste 2
Daytona Beach, FL 32117-5500

Mailing address

32 Baltimore LN
Palm Coast, FL 32137-8850
Phone (386) 589-0172

Other practice location 1

7 Boulder Rock Dr Ste 4
Palm Coast, FL 32137-8547
Phone (386) 245-6377

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Vera Endocrine Associates Inc CurrentSince Dec 26, 2021 Accepting new patients
Lakeside Endocrine Associates, Inc CurrentSince Dec 26, 2021 Accepting new patients

Locations

1667 N Clyde Morris Blvd
#2
Daytona Beach, FL 32117
Phone (386) 274-1414

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12862/brand/1/csg/1/fhir/r4

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": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1609536200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BALTIMORE LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378850",
            "telephone_number": "386-589-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 N CLYDE MORRIS BLVD STE 2",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175500",
            "telephone_number": "386-274-1414",
            "fax_number": "386-256-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Boulder Rock Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321378547",
            "country_code": "US",
            "telephone_number": "386-245-6377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORAZIO",
        "first_name": "ASHLEY",
        "credential": "RDMS, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": "245350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.