Active NPI
Ashley Palmore, RN, PHN, AMB-BC
- Registered Nurse
- San Diego, CA
National Provider Identifier
1740963255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 704085
- Practice address
- 3020 Childrens Way # Mc5090
San Diego, CA 92123-4223 - Phone
- (858) 966-8346
- NPI assigned
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 704085 | CA | Primary |
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X | 566261 | CA |
Addresses
Primary practice location
3020 Childrens Way # Mc5090
San Diego, CA 92123-4223
Mailing address
5173 Waring Rd
Ste a #535
San Diego, CA 92120
Other names 1
- Ashley Rollins
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 704085 | CA | MD | Registered Nurse |
| 566261 | CA | MD | Community Health/Public Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1740963255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5173 WARING RD",
"address_2": "STE A #535",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY # MC5090",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-966-8346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMORE",
"first_name": "ASHLEY",
"credential": "RN, PHN, AMB-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "704085",
"primary": true
},
{
"code": "364SC1501X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Community Health/Public Health",
"state": "CA",
"license": "566261",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "ROLLINS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.