Active NPI
Ashton Marie Aninzo, PA-C, RD
- Physician Assistant
- Austin, TX
National Provider Identifier
1639746431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15801
- Practice address
- 1301 Barbara Jordan Blvd Ste 200E
Austin, TX 78723-3078 - Phone
- (512) 628-1998
- NPI assigned
- Jun 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15801 | TX | Primary |
| Physician Assistant | 363A00000X | 59592 | CA |
Addresses
Primary practice location
1301 Barbara Jordan Blvd Ste 200E
Austin, TX 78723-3078
Mailing address
1301 Barbara Jordan Blvd Ste 200E
Austin, TX 78723-3078
Phone (214) 621-7296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15801 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dell Children'S Medical Group | Current | Accepting new patients |
Locations
1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800
1301 Barbara Jordan Blvd
Ste 200E
Austin, TX 78723
Phone (512) 628-1840
Interoperability endpoints
- ashton.aninzo.2@8363.direct.athenahealth.com
- ashton.aninzo.1@8363.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Austin, TX
- NPI 1326072943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1639746431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD STE 200E",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233078",
"telephone_number": "214-621-7296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD STE 200E",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233078",
"telephone_number": "512-628-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANINZO",
"first_name": "ASHTON",
"middle_name": "MARIE",
"credential": "PA-C, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA15801",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "59592",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.