Active NPI
Ashlee Brooke Roybal, MD
- Pediatrics Physician
- Fayetteville, NC
National Provider Identifier
1851911341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2023026708
- Practice address
- 1638 Owen Dr
Fayetteville, NC 28304-3424 - Phone
- (910) 615-5590
- Fax
- (910) 615-7298
- NPI assigned
- Apr 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2026-03238 | NC | |
| Pediatrics Physician | 208000000X | 2023026708 | MO | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 2026-03238 | NC |
Addresses
Primary practice location
1638 Owen Dr
Fayetteville, NC 28304-3424
Mailing address
Wusm Peds, 1 Childrens PL, MSC 8208-0016-01
St Louis, MO 63110-1002
Phone (314) 454-2527
Other practice location 1
Wusm Peds, 1 Childrens PL, MSC 8208-0016-01
St Louis, MO 63110-1002
Phone (314) 454-2527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 40908
Fayetteville, NC 28309
PO Box
Suite 40908
Fayetteville, NC 28309-0908
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023026708 | MO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1851911341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WUSM PEDS, 1 CHILDRENS PL, MSC 8208-0016-01",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "631101002",
"telephone_number": "314-454-2527",
"fax_number": "314-747-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043424",
"telephone_number": "910-615-5590",
"fax_number": "910-615-7298"
}
],
"practiceLocations": [
{
"address_1": "WUSM PEDS, 1 CHILDRENS PL, MSC 8208-0016-01",
"address_purpose": "LOCATION",
"city": "St Louis",
"state": "MO",
"postal_code": "631101002",
"country_code": "US",
"telephone_number": "314-454-2527",
"fax_number": "314-747-8880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROYBAL",
"first_name": "ASHLEE",
"middle_name": "BROOKE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2026-03238",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2023026708",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NC",
"license": "2026-03238",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
- Royal Glytz Hair Replacemet
- Royal Laine Healthcare, LLC (Eastover Gardens)
- Dennis Ray Royal, DC
- Royally Home Health LLC (Royally Home Health)
- Royals Open Arms Private Home Care Agency LLC
- Falon Rozhitsky, DMD, MS, MBA
- Gwendolyn T Rozier, LCAS-A
- Ravyn J Rozier
- Jodi Lynn Rozsnaki
- RPK Center for Rehab, Spine & Pain
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.