Individual provider Active NPI

Ashley Pardue-Gomez, RN

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1851705735
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9242435 Issued in FL
Practice address
4060 Sheridan St Ste C
Hollywood, FL 33021-3559
Phone
(954) 987-7512
Fax
(954) 987-3977
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 ARNP9242435 FL Primary

Addresses

Primary practice location

4060 Sheridan St Ste C
Hollywood, FL 33021-3559

Mailing address

1951 SW 172ND Ave
416
Miramar, FL 33029-5593
Phone (954) 447-3200

Other practice location 1

1951 SW 172nd Ave
416
Miramar, FL 33029-5593
Phone (954) 447-3200

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
I20160629002554 FL Practitioner - Nurse Practitioner 3173815776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9242435FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc CurrentSince Feb 7, 2016 Accepting new patients
Vitalmd Group Holding LLC CurrentSince Jan 6, 2023 Accepting new patients
Leavitt Medical Associates of Florida Inc CurrentSince Feb 7, 2016 Accepting new patients
Norman Minars, MD, PA PastSince Mar 12, 2023 Accepting new patients

Locations

1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474

4060 Sheridan St
Ste C
Hollywood, FL 33021
Phone (954) 987-6200

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

1951 SW 172nd Ave
Ste 416
Miramar, FL 33029
Phone (954) 447-3200

3 SW 129th Ave
Ste 100
Pembroke Pines, FL 33027
Phone (954) 447-3200

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851705735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE",
            "address_2": "416",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295593",
            "telephone_number": "954-447-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 SHERIDAN ST STE C",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213559",
            "telephone_number": "954-987-7512",
            "fax_number": "954-987-3977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 SW 172nd Ave",
            "address_2": "416",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295593",
            "country_code": "US",
            "telephone_number": "954-447-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARDUE-GOMEZ",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9242435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.