Active NPI
Jennifer Ashby, M.D.
- Dermatology Physician
- North Kansas City, MO
National Provider Identifier
1942245444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 31477
- Practice address
- 2790 Clay Edwards Dr
North Kansas City, MO 64116-3274 - Phone
- (816) 472-0400
- Fax
- (816) 472-0813
- NPI assigned
- Jun 18, 2006
- Last updated
- Mar 22, 2010
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 31477 | MO | Primary |
Addresses
Primary practice location
2790 Clay Edwards Dr
North Kansas City, MO 64116-3274
Mailing address
151 Lakeshore Dr S
Lake Quivira, KS 66217-8516
Phone (913) 631-4414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200978518 | Medicaid | MO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31477 | MO | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1942245444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 LAKESHORE DR S",
"city": "LAKE QUIVIRA",
"state": "KS",
"postal_code": "662178516",
"telephone_number": "913-631-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 CLAY EDWARDS DR",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163274",
"telephone_number": "816-472-0400",
"fax_number": "816-472-0813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHBY",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "31477",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200978518",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.