Ashley Moore, AESTHETICIAN

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

10520 N Baehr Rd Ste M
Mequon, WI 53092-6701

Phone

(262) 416-8385

NPI assigned

Mar 24, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• An Inspirational Lover Prenatal Care Agency

  • Case Management Agency
  • Mequon, WI
  • NPI 1942074703
  NPD Authorized official
• Divine Lash & Beauty Bar

  • Prosthetic/Orthotic Supplier
  • Mequon, WI
  • NPI 1902546187
  NPD Authorized official

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1669122529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10520 N BAEHR RD STE M",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530926701",
            "telephone_number": "262-416-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 N BAEHR RD STE M",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530926701",
            "telephone_number": "262-416-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "AESTHETICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Edward Mleziva
• Elizabeth Cohn Mock, OT
• Jaclyn A Moglowsky, MA, LPC
• Sheppard B Mollick, DMD
• Sarah Mooney, MD
• Candace Moore, NP
• Stephen James Moore, PHARM. D.
• Gregg Moral, M.D.
• Gabriela Madeleine Morris, M.D.
• Mark Alan Morrison, LCSW

• Prosthetic/Orthotic Supplier in Mequon, WI
• Providers in Mequon, WI by specialty
• Prosthetic/Orthotic Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.