Active NPI
Ashley Lynn Shaw
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1942157573
- Practice address
- 800 Prudential Dr
Jacksonville, FL 32207-8211 - Phone
- (904) 202-2000
- NPI assigned
- Mar 12, 2026
- Last updated
- May 31, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1942157573 | FL | Primary |
Addresses
Primary practice location
800 Prudential Dr
Jacksonville, FL 32207-8211
Mailing address
2691 College St
Jacksonville, FL 32204-3571
Phone (904) 309-2217
Other practice location 1
1350 13th Ave S
Jacksonville Beach, FL 32250-3203
Phone (904) 627-2900 ext. 92217
Other practice location 2
14550 Old Saint Augustine Rd
Jacksonville, FL 32258-2460
Phone (904) 271-6000 ext. 92217
Other practice location 3
1771 Baptist Clay Dr
Fleming Island, FL 32003-8501
Phone (904) 516-1000
Other practice location 4
461 Outlet Mall Blvd
Saint Augustine, FL 32084-2493
Phone (904) 517-5713
Other practice location 5
4085 Town Center Pkwy
Jacksonville, FL 32246-8580
Phone (904) 202-6800 ext. 92217
Other practice location 6
1250 S 18th St
Fernandina Beach, FL 32034-3098
Phone (904) 321-3500
Other practice location 7
11236 Baptist Health Dr
Jacksonville, FL 32218-2980
Phone (904) 202-6900
Other practice location 8
9868 Family Pl
Jacksonville, FL 32222-5885
Phone (904) 516-1600 ext. 92217
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 |
|---|---|---|---|
| 1942157573 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780185600000",
"number": "1942157573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2691 COLLEGE ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322043571",
"telephone_number": "904-309-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PRUDENTIAL DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078211",
"telephone_number": "904-202-2000"
}
],
"practiceLocations": [
{
"address_1": "1350 13th Ave S",
"address_purpose": "LOCATION",
"city": "Jacksonville Beach",
"state": "FL",
"postal_code": "322503203",
"country_code": "US",
"telephone_number": "904-627-2900 x92217",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14550 Old Saint Augustine Rd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322582460",
"country_code": "US",
"telephone_number": "904-271-6000 x92217",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1771 Baptist Clay Dr",
"address_purpose": "LOCATION",
"city": "Fleming Island",
"state": "FL",
"postal_code": "320038501",
"country_code": "US",
"telephone_number": "904-516-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "461 Outlet Mall Blvd",
"address_purpose": "LOCATION",
"city": "Saint Augustine",
"state": "FL",
"postal_code": "320842493",
"country_code": "US",
"telephone_number": "904-517-5713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4085 Town Center Pkwy",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322468580",
"country_code": "US",
"telephone_number": "904-202-6800 x92217",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 S 18th St",
"address_purpose": "LOCATION",
"city": "Fernandina Beach",
"state": "FL",
"postal_code": "320343098",
"country_code": "US",
"telephone_number": "904-321-3500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11236 Baptist Health Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322182980",
"country_code": "US",
"telephone_number": "904-202-6900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9868 Family Pl",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322225885",
"country_code": "US",
"telephone_number": "904-516-1600 x92217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAW",
"first_name": "ASHLEY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-12",
"last_updated": "2026-05-31",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "1942157573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.