Active NPI
Ashley L Wood, RD
- Registered Dietitian
- Beaumont, CA
National Provider Identifier
1720896814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1067410
- Practice address
- 36695 Straightaway Dr
Beaumont, CA 92223-8150 - Phone
- (951) 537-8118
- NPI assigned
- Dec 21, 2024
- Last updated
- Dec 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1067410 | CA | Primary |
Addresses
Primary practice location
36695 Straightaway Dr
Beaumont, CA 92223-8150
Mailing address
36695 Straightaway Dr
Beaumont, CA 92223-8150
Phone (951) 537-8118
Other names 1
- Ashley L Lucas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1067410 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
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": "1734739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734739200000",
"number": "1720896814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36695 STRAIGHTAWAY DR",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922238150",
"telephone_number": "951-537-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36695 STRAIGHTAWAY DR",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922238150",
"telephone_number": "951-537-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "ASHLEY",
"middle_name": "L",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-21",
"last_updated": "2024-12-21",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1067410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "LUCAS",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Beaumont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.