KELLY ASHWORTH (NPI# 1275151102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275151102 |
| Entity Type | Individual |
| Full Name | KELLY ASHWORTH |
| Credential | PA-C |
| Practice Address |
7331 Gaston Ave # 180 Dallas TX 75214-4131 |
| Mailing Address |
3425 Riverstone Way Apt 923 Fort Worth TX 76116-0787 |
| Practice Telephone | 2144999555 |
| Mailing Telephone | 9729746796 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA13727 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3425 Riverstone Way Apt 923, Fort Worth, TX 761160787 | 9729746796 |
| Street Address |
7331 GASTON AVE # 180 |
| City | DALLAS |
| State | TX |
| Zip Code | 75214-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1447714183 | Lcl Mental Health Services | Marriage & Family Therapist | 6060 North Central Expwy, Suite 500, Dallas, TX 75214 | 2019-01-28 |
| 1487136776 | Muriel Kim Jimenez | Occupational Therapist | 6301 Gaston Ave # 162p, Dallas, TX 75214 | 2018-09-03 |
| 1447783352 | Nietta Reynolds | Counselor | 4935 Junius, 9, Dallas, TX 75214 | 2017-04-07 |
| 1124551536 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 6474 E. Northwest Hwy, Dallas, TX 75214 | 2017-04-04 |
| 1093265324 | Sarah Gammon | Behavior Technician | 6908 Wake Forrest Dr, Dallas, TX 75214 | 2016-10-11 |
| 1669921466 | Ivan Barboza | Physical Therapy Assistant | 5931 Reiger Ave, Dallas, TX 75214 | 2016-09-22 |
| 1164892857 | Edwin Gulledge Grafton Jr. | Ophthalmology | 6235 Ravendale Ln., Dallas, TX 75214 | 2015-10-07 |
| 1093182057 | Callie Jack | Audiologist-Hearing Aid Fitter | 6162 E. Mockingbird Lane, Suite 100, Dallas, TX 75214 | 2015-08-26 |
| 1427436179 | John Martin Whitfill | Internal Medicine | 7040 Tokalon Dr., Dallas, TX 75214 | 2015-05-14 |
| Find all providers in zip 75214 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1225643562 | Yermiahu Levi Sarne | Physician Assistant | 6206 Preston Crest Ln, Dallas, TX 75230-1828 | 2020-09-14 |
| 1255945564 | Amanda Michelle Flores | Physician Assistant | 1801 Young St, Dallas, TX 75201 | 2020-09-03 |
| 1780201715 | Gabriela Yvonne Camacho | Physician Assistant | 7331 Gaston Ave Unit 180, Dallas, TX 75214-4131 | 2020-06-25 |
| 1346879699 | Ws Neuroassist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-80, Dallas, TX 75214-6126 | 2020-04-07 |
| 1265065122 | Sarah Bell Stewart | Physician Assistant | 7811 Bryn Mawr Dr, Dallas, TX 75225-8217 | 2020-02-19 |
| 1093348237 | Meagan Lee Barry | Physician Assistant | 221 W Colorado Blvd Ste 431, Dallas, TX 75208-2312 | 2020-02-17 |
| 1245863554 | Melissa Ann Johnston | Physician Assistant | 4373 Boca Bay Dr, Dallas, TX 75244-7408 | 2020-02-14 |
| 1205479607 | Mj Surgical, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 906, Dallas, TX 75207-3912 | 2019-10-18 |
| 1528616570 | Sofia Rose Neicheril | Physician Assistant | 6720 Frankford Rd, Dallas, TX 75252-5841 | 2019-09-03 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.