Ashley Elizabeth Wood

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

P360072210062 Issued in MI

Practice address

35640 W Michigan Ave
Wayne, MI 48184-1628

Phone

(734) 729-7792

NPI assigned

May 29, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Ashley Elizabeth Potter Former name

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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1619356102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 EAGER RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488556735",
            "telephone_number": "517-672-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35640 W MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841628",
            "telephone_number": "734-729-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MI",
            "license": "P360072210062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "POTTER",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bianca Willis
• Armani Pierre Wilson
• Lesa M Wilson, BA LBSW QIDP
• Shaneise Wilson
• Ashley Wise
• Woods Care
• Woodward Detroit CVS, L.L.C. (CVS Pharmacy #08211)
• Shawn Wozniak
• Suraya Wright
• Sarah Wurster, BSW, LLBSW

• Other Technician in Wayne, MI
• Providers in Wayne, MI by specialty
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.