Active NPI
Ashley Pardue-Gomez, RN
- Family Nurse Practitioner
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9242435
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9242435 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Vitalmd Group Holding LLC | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Norman Minars, MD, PA | Past | 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.
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
-
dba Advanced Dermatology and Cosmetic Surq
- Dermatology Physician
- Sebastian, FL
- NPI 1083872535
-
dba Advanced Dermatology And Cosmetic Surgery
- Dermatology Physician
- Heathrow, FL
- NPI 1528097284
-
- Specialist
- Hollywood, FL
- NPI 1831186170
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.