Individual provider Active NPI

Ashley Marie Defournoy, FNP, RN

  • Family Nurse Practitioner
  • East Patchogue, NY
National Provider Identifier
1982096624
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350350 Issued in NY
Practice address
31 Redlef St
East Patchogue, NY 11772-4596
Phone
(516) 521-7353
NPI assigned
Mar 3, 2015
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 350350 NY Primary
Registered Nurse 163W00000X 717208 NY
Licensed Practical Nurse 164W00000X 313453 NY

Addresses

Primary practice location

31 Redlef St
East Patchogue, NY 11772-4596

Mailing address

2053 23Rd St
Astoria, NY 11105-3245
Phone (929) 928-0099

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
717208NYMDRegistered Nurse
313453NYMDLicensed Practical Nurse
350350NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1982096624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 23RD ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053245",
            "telephone_number": "929-928-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 REDLEF ST",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724596",
            "telephone_number": "516-521-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFOURNOY",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350350",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "717208",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "313453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.