Individual provider Active NPI

Ashlyn Mari Fouret, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Kaufman, TX
National Provider Identifier
1811558489
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
101 N Houston St
Kaufman, TX 75142-1950
Phone
(972) 932-7001
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

101 N Houston St
Kaufman, TX 75142-1950

Mailing address

PO Box 1908
Greenville, TX 75403-1908
Phone (903) 454-3025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200108000712 TX Practitioner - Physician Assistant 4880029479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Medical Physician GroupGroup PAC ID 7517194491, 17 clinicians

Practice addresses (Care Compare)

1011 N Galloway Ave
Mesquite, TX 75149-2433
Phone (214) 320-7000

1106 N Galloway Ave
Mesquite, TX 75149-2436
Phone (972) 226-0505

5308 N Galloway Ave
100 Southwest Cardiac Associates
Mesquite, TX 75150-1125
Phone (972) 226-0505

Hospital & facility affiliations

  • Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Medical Physician Group Physician Assistant CurrentSince Nov 28, 2022 Accepting new patients

Locations

5308 N Galloway Ave
Mesquite, TX 75150
Phone (972) 226-0505

5308 N Galloway Ave
Ste 100
Mesquite, TX 75150
Phone (972) 226-0505

1106 N Galloway Ave
Mesquite, TX 75149
Phone (972) 285-5426

Organizations & group practices 1

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 1

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1811558489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1908",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754031908",
            "telephone_number": "903-454-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N HOUSTON ST",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751421950",
            "telephone_number": "972-932-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURET",
        "first_name": "ASHLYN",
        "middle_name": "MARI",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

Verify at the official NPI Registry.