Ashley Llera, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111127 Issued in FL

Practice address

16870 NE 19TH Ave
North Miami Beach, FL 33162-3108

Phone

(305) 947-1466

Fax

(305) 944-0692

NPI assigned

Feb 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Luminary Dermatology of Miami LLCGroup PAC ID 8527597814, 8 clinicians

Luminary Dermatology PAGroup PAC ID 8628301835, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Luminary Dermatology of Miami, LLC

  • MOHS-Micrographic Surgery Physician
  • Miami, FL
  • NPI 1114769767
  Medicare reassignment Care Compare group
• Luminary Dermatology, PA

  • MOHS-Micrographic Surgery Physician
  • Bradenton, FL
  • NPI 1851955983
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1780184853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16870 NE 19TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623108",
            "telephone_number": "305-947-1466",
            "fax_number": "305-944-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16870 NE 19TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623108",
            "telephone_number": "305-947-1466",
            "fax_number": "305-944-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8740 N Kendall Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762209",
            "country_code": "US",
            "telephone_number": "305-661-8978",
            "fax_number": "941-296-8501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 NE 30th Ter Ste 308",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330337614",
            "country_code": "US",
            "telephone_number": "786-670-9799",
            "fax_number": "941-296-8501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLERA",
        "first_name": "ASHLEY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakeisha Samantha Lindsay, CNM
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• Shang Hong Liwong
• Lissette Llanes, PSY.D.
• Lleva Enterprises, Inc
• Heliah Lobban
• Brianna Loli
• Ryan Alessandro Loli, APRN, PMHNP-BC
• Cynthia Lombard

• Physician Assistant in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.