Individual provider Active NPI

Ashley Marie Ethington, APRN

  • Gerontology Nurse Practitioner
  • Naples, FL
National Provider Identifier
1962075796
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11015215 Issued in FL
Practice address
1095 Whippoorwill LN
Naples, FL 34105-3847
Phone
(239) 261-4404
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11015215 FL
Gerontology Nurse Practitioner 363LG0600X APRN11015215 FL Primary

Addresses

Primary practice location

1095 Whippoorwill LN
Naples, FL 34105-3847

Mailing address

1095 Whippoorwill LN
Naples, FL 34105-3847
Phone (239) 261-4404

Other practice location 1

1223 Whippoorwill Ln
Naples, FL 34105-5028
Phone (239) 304-1600

Other identifiers 2

IdentifierTypeStateIssuer
RNMGUOtherBCBS
111768900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916001763 FL Practitioner - Nurse Practitioner 4385041433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monogram Health Professional Services of Florida LLCGroup PAC ID 0244608149, 41 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32256
Phone (855) 212-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11015215FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd Inc CurrentSince Sep 13, 2021 Accepting new patients
Monogram Health Professional Services of Florida LLC Nurse Practitioner CurrentSince Jul 14, 2025 Accepting new patients
Avow Hospice Inc CurrentSince Mar 12, 2023 Accepting new patients
Nchmd, Inc CurrentSince Sep 13, 2021 Accepting new patients

Locations

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

1095 Whippoorwill Ln
Naples, FL 34105
Phone (236) 261-5786

1095 Whippoorwill Ln
#B
Naples, FL 34105

1205 Whippoorwill Ln
Naples, FL 34105
Phone (239) 261-4404

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

1223 Whippoorwill Ln
Naples, FL 34105
Phone (239) 261-4404

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

5410 Maryland Way
Ste 400
Brentwood, TN 37027

Interoperability endpoints

  • Direct secure messaging: ashley.ethington.1@22854.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1962075796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 WHIPPOORWILL LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341053847",
            "telephone_number": "239-261-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 WHIPPOORWILL LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341053847",
            "telephone_number": "239-261-4404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Whippoorwill Ln",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341055028",
            "country_code": "US",
            "telephone_number": "239-304-1600",
            "fax_number": "239-280-5999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETHINGTON",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11015215",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11015215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "RNMGU",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111768900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.