Individual provider Active NPI

Ashley Lynn Shaw

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1942157573
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1942157573 Issued in FL
Practice address
800 Prudential Dr
Jacksonville, FL 32207-8211
Phone
(904) 202-2000
NPI assigned
Mar 12, 2026
Last updated
May 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1942157573FLMDFamily 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.

Verify at the official NPI Registry.