Individual provider Active NPI

Ashley J. Randall, AU.D.

  • Audiologist
  • Phoenix, AZ
National Provider Identifier
1689080582
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA8903 Issued in AZ
Practice address
2910 N 3Rd Ave # 330
Phoenix, AZ 85013-4434
Phone
(602) 406-8811
Fax
(602) 406-8810
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X DA8903 AZ Primary

Addresses

Primary practice location

2910 N 3Rd Ave # 330
Phoenix, AZ 85013-4434

Mailing address

240 W Thomas Rd # 301
Phoenix, AZ 85013-4407
Phone (602) 406-7765

Other practice location 1

4212 N 16th St
Phoenix, AZ 85016-5319
Phone (602) 263-1200 ext. 1415

Other names 1

  • Dr. Ashley J. Pederson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140729001773 TX Practitioner - Qualified Audiologist 2668698598 Reassigns benefits to 7 organizations
I20250204001706 AZ Practitioner - Qualified Audiologist 2668698598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

500 W Thomas Rd
680 DHMG St Joseph's Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017

Merit-based Incentive Payment System (MIPS)

Final score
70.2 of 100Reported as group
Quality
74.9
Improvement activities
40
Cost
20.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA8903AZMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Aug 1, 2016 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Sjhmc Physician Services CurrentSince Jan 13, 2025 Accepting new patients
DHHS PHS IHS Phoenix Area CurrentSince May 13, 2019 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Aug 1, 2016 Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
DHHS IHS Phoenix Area CurrentSince May 28, 2015 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 12, 2015 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Apr 30, 2015 Accepting new patients
St. Joseph's Outpatient Surgery Center, LLC Current Accepting new patients
DHHS IHS Phoenix Area CurrentSince May 8, 2018 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm Current Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
DHHS IHS Phoenix Area CurrentSince Nov 14, 2014 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
Ely Shoshone Tribe PastSince Apr 28, 2015 Accepting new patients

Locations

2121 W Reservation Loop Rd
Camp Verde, AZ 86322
Phone (929) 567-2168

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

2910 N 3rd Ave
Ste 330
Phoenix, AZ 85013
Phone (602) 406-8811

240 W Thomas Rd
#301
Phoenix, AZ 85013
Phone (602) 406-6262

2910 N 3rd Ave
#330
Phoenix, AZ 85013
Phone (602) 406-8811

10005 E Osborn Rd
Scottsdale, AZ 85256
Phone (480) 362-7400

File 56765
Los Angeles, CA 90074

401 Picacho Rd
Winterhaven, CA 92283
Phone (760) 572-4100

515 Shoshone Cir
Elko, NV 89801
Phone (775) 738-2252

4100 W 150th St
Cleveland, OH 44135

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1689080582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W THOMAS RD # 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134407",
            "telephone_number": "602-406-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE # 330",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "602-406-8811",
            "fax_number": "602-406-8810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4212 N 16th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850165319",
            "country_code": "US",
            "telephone_number": "602-263-1200 x1415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "ASHLEY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "PEDERSON",
            "middle_name": "J.",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.