Active NPI
Kristen Taylor Ashourian, MD
- Ophthalmology Physician
- Jacksonville, FL
National Provider Identifier
1962030049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036165978
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036165978 | IL | MD | Ophthalmology 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.