Active NPI
Ashley Elizabeth Martin
- Physician Assistant
- Palm Beach Gardens, FL
National Provider Identifier
1922620756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9114997
- Practice address
- 2560 Rca Blvd Ste 106
Palm Beach Gardens, FL 33410-3336 - Phone
- (561) 799-9559
- NPI assigned
- May 14, 2020
- Last updated
- Jan 5, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9114997 | FL | Primary |
Addresses
Primary practice location
2560 Rca Blvd Ste 106
Palm Beach Gardens, FL 33410-3336
Mailing address
2560 Rca Blvd Ste 106
Palm Beach Gardens, FL 33410-3336
Other practice location 1
901 45th St
West Palm Beach, FL 33407
Phone (561) 844-6300
Other practice location 2
39200 Hooker Hwy
Belle Glade, FL 33430-5368
Phone (561) 996-6571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9114997 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1922620756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 RCA BLVD STE 106",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 RCA BLVD STE 106",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103336",
"telephone_number": "561-799-9559"
}
],
"practiceLocations": [
{
"address_1": "901 45th St",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "33407",
"country_code": "US",
"telephone_number": "561-844-6300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "39200 Hooker Hwy",
"address_purpose": "LOCATION",
"city": "Belle Glade",
"state": "FL",
"postal_code": "334305368",
"country_code": "US",
"telephone_number": "561-996-6571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "ASHLEY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9114997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.