Individual provider Active NPI

Ashley Elizabeth Martin

  • Physician Assistant
  • Palm Beach Gardens, FL
National Provider Identifier
1922620756
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114997 Issued in FL
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PA9114997FLMDPhysician 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.

Verify at the official NPI Registry.