Ashley Jennifer Custodio, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN11003143 Issued in FL

Practice address

4129 N Armenia Ave
Tampa, FL 33607-6436

Phone

(813) 879-3699

Fax

(813) 873-8469

NPI assigned

Aug 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tampa Lung Specialists, P.a.

  • Pulmonary Disease Physician
  • Tampa, FL
  • NPI 1407971419
  Medicare reassignment NPD
• Best Value Healthcare LLC

  • Internal Medicine Physician
  • North Fort Myers, FL
  • NPI 1619542446
  NPD (past)
• Raul Sierra MD PA

  • General Practice Physician
  • Tampa, FL
  • NPI 1255642989
  NPD (past)

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1821643339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076436",
            "telephone_number": "813-879-3699",
            "fax_number": "813-873-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076436",
            "telephone_number": "813-879-3699",
            "fax_number": "813-873-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTODIO",
        "first_name": "ASHLEY",
        "middle_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11003143",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11003143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Ruth Curtis, ARNP-C
• Glenn Curtiss, PH.D.
• Leta K Curtiss, RRT/CPFT
• Brenda Curtwright, SLP
• Curve Chiropractic LLC
• Custom Care Medical Center LLC
• Michael Anthony Cusumano, O.D.
• Atira Cutler, B.S
• Jasmine Cutler, PHARMD
• Scott G. Cutler, M.D.

• Acute Care Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.