Individual provider Active NPI

Jordan Ashley Woolbright, APRN

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1750111456
Registry record updated Aug 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11034487 Issued in FL
Practice address
3141 E Highway 98
Panama City, FL 32401-5415
Phone
(850) 785-9511
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11034487 FL Primary

Addresses

Primary practice location

3141 E Highway 98
Panama City, FL 32401-5415

Mailing address

133 Heather Dr
Panama City Beach, FL 32413-5215
Phone (850) 420-8673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240914000382 FL Practitioner - Nurse Practitioner 2163962358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashraf Khan MD LLCGroup PAC ID 9931325701, 3 clinicians

Practice addresses (Care Compare)

3141 E Hwy 98
Panama City, FL 32401-5415
Phone (850) 219-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11034487FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashraf Khan MD LLC CurrentSince Oct 1, 2024 Accepting new patients
Misal Khan,M.D. FRCS(Ed) P.a. PastSince Feb 18, 2014 Accepting new patients

Locations

3808 E 3rd St
Panama City, FL 32401
Phone (850) 319-0272

3141 E Highway 98
Panama City, FL 32401
Phone (850) 219-6800

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1750111456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HEATHER DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324135215",
            "telephone_number": "850-420-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 E HIGHWAY 98",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324015415",
            "telephone_number": "850-785-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLBRIGHT",
        "first_name": "JORDAN",
        "middle_name": "ASHLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.