Individual provider Active NPI

Ashley N Maraffa, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1710231360
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08131 Issued in TX
Practice address
3414 Milton Ave
Dallas, TX 75205
Phone
(215) 368-4822
NPI assigned
Nov 5, 2012
Last updated
Jul 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX
Physician Assistant 363A00000X PA08131 TX Primary

Addresses

Primary practice location

3414 Milton Ave
Dallas, TX 75205

Mailing address

2504 Barranca Way
McKinney, TX 75069-8035
Phone (724) 316-6944

Other practice location 1

1551 Oak Lawn Ave
Apt 237
Dallas, TX 75207-3746
Phone (724) 316-6944

Other identifiers 1

IdentifierTypeStateIssuer
312462001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130102000115 TX Practitioner - Physician Assistant 6800049768 Reassigns benefits to 4 organizations
I20241111001807 NM Practitioner - Physician Assistant 6800049768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA08131TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Medical Clinics PLLC CurrentSince Aug 1, 2019 Accepting new patients
Goodside Health Medical, PLLC Physician Assistant CurrentSince Oct 27, 2022 Accepting new patients
Goodside Health Medical, PLLC Physician Assistant Past Accepting new patients

Locations

1500 N Cummings Dr
Alvarado, TX 76009
Phone (817) 783-6863

2101 Faro Dr
Austin, TX 78741

555 S Major Dr
Beaumont, TX 77707

1701 River Run
Ste 302
Ft Worth, TX 76107
Phone (512) 857-1222

6315 Winkleman Rd
Houston, TX 77083

8861 Davis Blvd
Ste 100
Keller, TX 76248
Phone (817) 431-5073

2727 Military Pkwy
Mesquite, TX 75149

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/32456/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1710231360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 BARRANCA WAY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750698035",
            "telephone_number": "724-316-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 MILTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75205",
            "telephone_number": "215-368-4822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Oak Lawn Ave",
            "address_2": "Apt 237",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752073746",
            "country_code": "US",
            "telephone_number": "724-316-6944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARAFFA",
        "first_name": "ASHLEY",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312462001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.