Individual provider Active NPI

Ashley Jessica Harris, APRN

  • Family Nurse Practitioner
  • Bunnell, FL
National Provider Identifier
1669017349
Registry record updated Nov 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002860 Issued in FL
Practice address
2795 County Road 13
Bunnell, FL 32110
Phone
(386) 931-2898
NPI assigned
Nov 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2019

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 APRN11002860 FL Primary

Addresses

Primary practice location

2795 County Road 13
Bunnell, FL 32110

Mailing address

2795 County Road 13
Bunnell, FL 32110
Phone (386) 931-2898

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
I20200124001550 FL Practitioner - Nurse Practitioner 8527493394 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians of Florida VI LLCGroup PAC ID 1759802333, 141 clinicians

Practice addresses (Care Compare)

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-5155

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-3850

Hospital & facility affiliations

  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11002860FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Florida VI LLC CurrentSince Feb 6, 2025 Accepting new patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Mar 1, 2021 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Mar 1, 2021 Accepting new patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Mar 1, 2021 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

400 Health Park Blvd
Ste 300
St Augustine, FL 32086
Phone (904) 819-4082

3100 E Fletcher Ave
#C
Tampa, FL 33613

Interoperability endpoints

  • Direct secure messaging: aharris740306@direct.shands.ufl.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573948800000",
    "number": "1669017349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 COUNTY ROAD 13",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "32110",
            "telephone_number": "386-931-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 COUNTY ROAD 13",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "32110",
            "telephone_number": "386-931-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ASHLEY",
        "middle_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2019-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunnell, FL

Sources for this page

Verify at the official NPI Registry.