Individual provider Active NPI

Kristen Taylor Ashourian, MD

  • Ophthalmology Physician
  • Jacksonville, FL
National Provider Identifier
1962030049
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036165978 Issued in IL
Practice address
7880 Gate Pkwy Ste 300
Jacksonville, FL 32256-7285
Phone
(904) 304-2000
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036165978 IL Primary

Addresses

Primary practice location

7880 Gate Pkwy Ste 300
Jacksonville, FL 32256-7285

Mailing address

7880 Gate Pkwy Ste 300
Jacksonville, FL 32256-7285
Phone (904) 304-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 N Washington Ave
Bergenfield, NJ 07621-2160

315 Ponte Vedra Blvd
Ponte Vedra Beach, FL 32082-1813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036165978ILMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1962030049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 GATE PKWY STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567285",
            "telephone_number": "904-304-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 GATE PKWY STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567285",
            "telephone_number": "904-304-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHOURIAN",
        "first_name": "KRISTEN",
        "middle_name": "TAYLOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036165978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.