Individual provider Active NPI

Ashleigh Ryan Boria, RD

  • Registered Dietitian
  • Farmington Hills, MI
National Provider Identifier
1679289284
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1038940 Issued in MI
Practice address
35055 W 12 Mile Rd Ste 250
Farmington Hills, MI 48331-3270
Phone
(734) 790-0098
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1038940 MI Primary

Addresses

Primary practice location

35055 W 12 Mile Rd Ste 250
Farmington Hills, MI 48331-3270

Mailing address

42269 Hammill LN
Plymouth, MI 48170-2536
Phone (810) 877-2815

Other names 1

  • Ashleigh Ryan Williams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230323000511 MI Practitioner - Registered Dietitian Or Nutrition Professional 5294109724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMD Primary Providers Eastern Michigan PCGroup PAC ID 9234480575, 63 clinicians

Practice addresses (Care Compare)

12660 10 Mile Rd
Suite C
South Lyon, MI 48178-9141
Phone (248) 741-6901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1038940MIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Eastern Michigan, PC CurrentSince Dec 16, 2022 Accepting new patients

Locations

35055 W 12 Mile Rd
Ste 250
Farmington Hills, MI 48331
Phone (248) 471-0675

39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502

12660 10 Mile Rd
Ste C
South Lyon, MI 48178
Phone (248) 270-8081

Interoperability endpoints

  • Direct secure messaging: ashleigh.boria.1@21803.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.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1679289284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42269 HAMMILL LN",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702536",
            "telephone_number": "810-877-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35055 W 12 MILE RD STE 250",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313270",
            "telephone_number": "734-790-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORIA",
        "first_name": "ASHLEIGH",
        "middle_name": "RYAN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "1038940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEIGH",
            "last_name": "WILLIAMS",
            "middle_name": "RYAN",
            "credential": "RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.