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ASHLEY BROOKE HACKWORTH MEDICAL STUDENT
NPI 1063164622
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, FL

Active since January 24, 2022PECOS Enrolled
1348 SW 2ND CT, FORT LAUDERDALE, FL 33312(636) 357-6719 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashley Brooke Hackworth Medical Student NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY BROOKE HACKWORTH MEDICAL STUDENT (NPI 1063164622) is an individual student in an organized health care education/training program in Fort Lauderdale, Florida and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063164622
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameASHLEY BROOKE HACKWORTHCredential: MEDICAL STUDENT
Location Address1348 SW 2ND CTFort Lauderdale, FL 33312-7593
Mailing Address1348 Sw 2nd CtFort Lauderdale, FL 33312-7593 · Fax (636) 357-6719
Phone(636) 357-6719
Sole ProprietorYes
Enumeration DateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1063164622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1348 SW 2ND CT, Fort Lauderdale, FL 33312
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Brooke Hackworth Medical Student is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Hackworth's NPI number?

The NPI number for Ashley Hackworth is 1063164622. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Ashley Hackworth located?

Ashley Hackworth practices at 1348 SW 2nd Ct, Fort Lauderdale, FL 33312. The listed phone number is (636) 357-6719.

What is Ashley Hackworth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ashley Hackworth enrolled in Medicare?

Yes. Ashley Hackworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashley Hackworth was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.