Individual provider Active NPI

Ashley McCarthy Gardner, NP

  • Family Nurse Practitioner
  • King of Prussia, PA
National Provider Identifier
1952737660
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN213727 Issued in GA
Practice address
2201 Renaissance Blvd FL 3
King of Prussia, PA 19406-2709
Phone
(610) 994-2930
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN213727 GA
Nurse Practitioner 363L00000X APRN11022763 FL
Family Nurse Practitioner 363LF0000X RN213727 GA Primary

Addresses

Primary practice location

2201 Renaissance Blvd FL 3
King of Prussia, PA 19406-2709

Mailing address

6755 Creek View LN Ste 200
Cumming, GA 30041-5516
Phone (770) 880-7598

Other practice location 1

925 Sanders Rd Ste B
Cumming, GA 30041-7945
Phone (678) 261-7671

Other practice location 2

310 Black Bear Rdg
Sautee, GA 30571-3500
Phone (706) 200-4116

Other practice location 3

12195 Highway 92 Ste 112
Woodstock, GA 30188-3603
Phone (404) 500-8695

Other names 1

  • Ashley Ruth Bryan Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11022763FLMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1952737660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 CREEK VIEW LN STE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415516",
            "telephone_number": "770-880-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 RENAISSANCE BLVD FL 3",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062709",
            "telephone_number": "610-994-2930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Sanders Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300417945",
            "country_code": "US",
            "telephone_number": "678-261-7671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Black Bear Rdg",
            "address_purpose": "LOCATION",
            "city": "Sautee",
            "state": "GA",
            "postal_code": "305713500",
            "country_code": "US",
            "telephone_number": "706-200-4116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12195 Highway 92 Ste 112",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301883603",
            "country_code": "US",
            "telephone_number": "404-500-8695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ASHLEY",
        "middle_name": "MCCARTHY",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN213727",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11022763",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN213727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BRYAN",
            "middle_name": "RUTH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.