Ashley O'Grady
Dietitian, Registered in Jacksonville, FL. Individual provider (NPI-1).
NPI number1457930893
StatusActive
Last updated in NPPESJul 31, 2024
Details
- NPI
- 1457930893
- Entity type
- Individual (NPI-1)
- Name
- Ashley O'Grady
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2021
- Certification date
- Jul 31, 2024
- Last updated
- Jul 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND10425 | FL | Yes |
Practice location
4500 San Pablo Rd SJacksonville, FL 32224-1865
Phone 904-953-2000
Mailing address
421 13th Ave NJacksonville Beach, FL 32250-4726
Phone 813-484-5988
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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