Active NPI
Ashley G Parker, FNP
- Family Nurse Practitioner
- Myrtle Beach, SC
National Provider Identifier
1942700091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.20870
- Practice address
- 5046 Highway 17 Byp S Ste 103
Myrtle Beach, SC 29588-4503 - Phone
- (843) 668-4104
- Fax
- (843) 668-4108
- NPI assigned
- Feb 15, 2018
- 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 | APN.20870 | SC | Primary |
Addresses
Primary practice location
5046 Highway 17 Byp S Ste 103
Myrtle Beach, SC 29588-4503
Mailing address
35 Green Pond Rd
Rockaway, NJ 07866-2052
Phone (973) 625-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250627000280 | SC | Order and Referring Only - Nurse Practitioner | 4082977830 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.20870 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1942700091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 GREEN POND RD",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078662052",
"telephone_number": "973-625-0600",
"fax_number": "973-625-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5046 HIGHWAY 17 BYP S STE 103",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295884503",
"telephone_number": "843-668-4104",
"fax_number": "843-668-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "ASHLEY",
"middle_name": "G",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APN.20870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.